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RRC390100-45 LANCASTER GENERAL HOSPITAL (Active)
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Main Details
Name
LANCASTER GENERAL HOSPITAL
Subdivision Name
Penn Fertility Care Lancaster General Health - Fertility Care
Type
Rural Referral Center
Rural
Yes
340B ID
RRC390100-45
Medicare Provider Number
390100
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2022
Participating Start Date
7/1/2022
Participating Approval Date
5/4/2022
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Penn Medicine Lancaster General Health
Gary Allen Welch, CFO
(717) 544-5658
Primary Contact
Lancaster General Hospital
Matthew W Eberts, Director of Pharmacy Services
(717) 544-7156
Addresses
Street Address
2112 Harrisburg Pike
110
Lancaster, PA 17601
Billing Address
Lancaster General Health
Accounts Payable
555 North Duke Street
Lancaster, PA 17604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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