340B Drug Pricing Program Database
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DSH390006CB GEISINGER MEDICAL CENTER (Active)
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Main Details
Name
GEISINGER MEDICAL CENTER
Subdivision Name
ORTHO SPINE SURGERY WOODBINE - ORTHO SPINE SURGERY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390006CB
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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