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DSH360068L THE TOLEDO HOSPITAL (Active)
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Main Details
Name
THE TOLEDO HOSPITAL
Subdivision Name
PROMEDICA TOLEDO HOSPITAL EMERGENCY - Free Standing ED Department
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360068L
Medicare Provider Number
360068
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/3/2022
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
1075 MEDICAL CENTER PARKWAY
MAUMEE, OH 43537
Billing Address
ProMedica Toledo Hospital
2142 North Cove Blvd
Toledo, OH 43606
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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