340B Drug Pricing Program Database
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DSH390048 GEISINGER LEWISTOWN HOSPITAL (Active)
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Main Details
Name
GEISINGER LEWISTOWN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390048
Medicare Provider Number
390048
Additional Details
Current Program Status
Active
Registration Date
10/14/2024
Participating Start Date
1/1/2025
Participating Approval Date
12/10/2024
Last Recertification Date
Contacts
Authorizing Official
Geisinger Health
Michael Anthony Evans, VP Pharmacy CPO
(570) 271-6192
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
400 HIGHLAND AVENUE
LEWISTOWN, PA 17044
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2021, terminated 4/1/2022. Reinstated 1/1/2025.
12/10/2024
June 2025
June 2025
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