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DSH360211E TRINITY HOSPITAL HOLDING COMPANY (Active)
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Main Details
Name
TRINITY HOSPITAL HOLDING COMPANY
Subdivision Name
TRINITY MEDICAL CENTER EAST - Psychiatry
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360211E
Medicare Provider Number
360211
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/31/2022
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Trinity Health System
Dave Werkin, CFO
(740) 264-8695
Primary Contact
Trinity Health System
Jennifer Davis, System Director of Pharmacy
(740) 264-8663
Addresses
Street Address
380 SUMMIT AVE
STEUBENVILLE, OH 43952-2667
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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