340B Drug Pricing Program Database
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DSH360236P CLERMONT MERCY HOSPITAL (Active)
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Main Details
Name
CLERMONT MERCY HOSPITAL
Subdivision Name
MERCY HEALTH - INFUSION AND CANCER CARE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360236P
Medicare Provider Number
360236
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/11/2023
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
BSMH
Cameron Stockdale, Assistant CFO
(513) 735-7548
Primary Contact
BSMH
Brandon Kyle Cheek, Director of Pharmacy
(513) 732-8670
Addresses
Street Address
4777 E Galbraith
Suite 310
Cincinnati, OH 45236
Billing Address
Clermont Mercy Hospital
3000 Hospital Drive
Batavia, OH 45103
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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