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DSH360118D MEDCENTRAL HEALTH SYSTEM DBA OHIOHEALTH MANSFIELD HOSPITAL (Active)
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Main Details
Name
MEDCENTRAL HEALTH SYSTEM DBA OHIOHEALTH MANSFIELD HOSPITAL
Subdivision Name
OHIOHEALTH EMERG CARE- ASHLAND - OhioHealth Ashland Freestanding Emergency Department
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360118D
Medicare Provider Number
360118
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/19/2022
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
OhioHealth
Curtis L Gingrich, President
(419) 526-8403
Primary Contact
OhioHealh
Eva Brahimaj, Site Manager
(419) 526-8084
Addresses
Street Address
1720 OHIOHEALTH WAY
ASHLAND, OH 44805-9253
Billing Address
OhioHealth
PO Box 9
Columbus, OH 43216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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