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MERIDIA HILLCREST HOSPITAL
RRC360180-00 CLEVELAND CLINIC HOSPITAL
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Covered Entity Details
Entity Name
CLEVELAND CLINIC HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360180-00
Entity Address
9500 EUCLID AVENUE
CLEVELAND, OH 44195
Medicare Provider Number
360180
Participating Start Date
4/1/2020
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MERIDIA HILLCREST HOSPITAL
Pharmacy Address
6780 MAYFIELD RD
PHARMACY DEPT
MAYFIELD HEIGHTS, OH 44124-2203
Pharmacy Comments
Contract Details
Approval Date
2/18/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tim Longville, Chief Accounting Officer and Controller
(216) 636-7416
Contract Pharmacy Representative
Hillcrest Hospital
Michael Jakubecz, Director of Pharmacy
(440) 312-4537
Signed By Date
1/8/2020
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