340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC360066-03 ST. RITAS MEDICAL CENTER LLC (Terminated)
Print
Main Details
Name
ST. RITAS MEDICAL CENTER LLC
Subdivision Name
Mercy Health - Delphos Imaging and Lab Services - CT - Mercy Health - Delphos Imaging and Lab Services - CT
Type
Rural Referral Center
Rural
Yes
340B ID
RRC360066-03
Medicare Provider Number
360066
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2021
Participating Start Date
7/26/2021
Participating Approval Date
7/22/2021
Last Recertification Date
8/25/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
St. Rita's Medical Center LLC
Nicole R Hutchison, CFO
(419) 226-4584
Primary Contact
St. Rita's Medical Center LLC
Kristi Ziegenbusch, Director of Pharmacy
(419) 996-5578
Addresses
Street Address
1800 E 5TH St.
Suite 2
Delphos, OH 45833
Billing Address
ST. RITAS MEDICAL CENTER LLC
730 W. Market Street
Lima, OH 45801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session