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RRC390100-44 LANCASTER GENERAL HOSPITAL (Active)
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Main Details
Name
LANCASTER GENERAL HOSPITAL
Subdivision Name
Norlanco-Heart Vascular Rehab - Cardiac Rehab
Type
Rural Referral Center
Rural
Yes
340B ID
RRC390100-44
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
5/2/2022
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
424 Cloverleaf Road
Elizabethtown, PA 17022-9320
Billing Address
Lancaster General Health Accounts Payable
555 North Duke Street
P.O. Box 3555
Lancaster, PA 17604-3555
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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