340B Drug Pricing Program Database
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DSH360068K THE TOLEDO HOSPITAL (Active)
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Main Details
Name
THE TOLEDO HOSPITAL
Subdivision Name
Peds and Peds Specialty Ambulatory - Pediatric services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360068K
Medicare Provider Number
360068
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2021
Participating Start Date
1/1/2022
Participating Approval Date
11/8/2021
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
ProMedica
Andrew James Hageman, Finance Director
(567) 585-0990
Primary Contact
Promedica Health Systems
Devan Matthew Ribley, Lead 340B Analyst
(567) 585-0154
Addresses
Street Address
2150 West Central Ave
2nd Floor
Toledo, OH 43606
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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