340B Drug Pricing Program Database
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DSH390006BZ GEISINGER MEDICAL CENTER (Active)
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Main Details
Name
GEISINGER MEDICAL CENTER
Subdivision Name
GEN SURG WOODBINE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390006BZ
Medicare Provider Number
390006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/28/2021
Last Recertification Date
8/29/2024
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
16 WOODBINE LN
DANVILLE, PA 17821
Billing Address
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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