340B Drug Pricing Program Database


DSH390041 UNIONTOWN HOSPITAL (Active) - information as of 4/29/2025 1:43:21 AM

Main Details
UNIONTOWN HOSPITAL
Disproportionate Share Hospital
No
DSH390041
390041


Additional Details
Active
10/16/2007
4/1/2005
10/16/2007
8/22/2024

Contacts

Uniontown
Lynn Matusik, VP Finance
(724) 430-5727

Uniontown Hospital
William Frank Johnson, Director of Pharmacy
(724) 430-5298

Addresses

500 WEST BERKELEY STREET
UNIONTOWN, PA 15401

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
PA 1871594127,1225045131
OH 1871594127,1225045131
WV 1871594127,1225045131
VA 1871594127,1225045131
KY 1871594127,1225045131
Shipping Addresses

West Virginia United Health System Inc DBA Enterprise Pharmacy Solutions
781 Chestnut Ridge Rd
Suite 600
Morgantown, WV 26505-0015
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailALLIED HEALTH SERVICES INC.DBA ALLIED HEALTH SOLUTIONS 3040 UNIVERSITY AVE STE 1400
MORGANTOWNWV26505-338104/13/202107/01/2021 12/16/202312/16/2023
Contract DetailGIANT EAGLE PHARMACY #0053300 TRI-COUNTY LANE
BELLE VERNONPA1501201/15/202104/01/2021  04/01/2021
Contract DetailGIANT EAGLE PHARMACY #0098581 PITTSBURGH RD
UNIONTOWNPA1540101/15/202104/01/2021  04/01/2021
Contract DetailGIANT EAGLE PHARMACY #1689999 N EIGHTY EIGHT RD
RICES LANDINGPA1535701/15/202104/01/2021  04/01/2021
Contract DetailGIANT EAGLE PHARMACY #89912500 LOVI RD
FREEDOMPA1504201/15/202104/01/2021  04/01/2021
Contract DetailMARYLAND CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01488 6260 CRAIN HWY.
LA PLATAMD2064601/15/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.CVS PHARMACY # 17264 120 MATTHEW DR
UNIONTOWNPA1540101/15/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03971 US HWY 40 / PO BOX 496
RICHEYVILLEPA1535801/15/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04256 25 PITTSBURGH ST.
UNIONTOWNPA1540101/15/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05700 3161 MT. MORRIS RD.
WAYNESBURGPA1537001/15/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04077 975 ROSTRAVER RD.
BELLE VERNONPA1501201/15/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05749 1845 MCCLELLANDTOWN RD
MASONTOWNPA1546101/15/202104/01/2021  04/01/2021
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/14/202101/01/2022  01/01/2022
Contract DetailWAL-MART PHARMACY 10-2019355 WAL-MART DR
UNIONTOWNPA1540110/14/202101/01/2022  01/01/2022
Contract DetailWAL-MART PHARMACY 10-26112100 SUMMIT RIDGE PLAZA
MT PLEASANTPA1566610/14/202101/01/2022  01/01/2022
Contract DetailWAL-MART PHARMACY 10-53791450 MORRELL AVENUE
CONNELLSVILLEPA1542510/14/202101/01/2022  01/01/2022
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/14/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 09804 180 W MAIN ST
UNIONTOWNPA15401-553701/18/202204/01/2022  04/01/2022
Contract DetailWalgreens #21423Walgreens Central Fill #21423 6275 Winchester Blvd
Canal WInchesterOH43110-653707/15/202410/01/2024  10/01/2024
Contract DetailWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275601/17/202304/01/2023  04/01/2023
Contract DetailWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616810/10/202301/01/2024  01/01/2024
Contract DetailWEST VIRGINIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03475 300 FAIRMONT AVENUE
FAIRMONTWV2655401/15/202104/01/2021  04/01/2021
Contract DetailWEST VIRGINIA UNIVERSITY HOSPITALS, INC.WVUH SPECIALTY PHARMACY & HOME INFUSION 3040 UNIVERSITY AVE STE 1400
MORGANTOWNWV2650512/04/202312/16/2023  12/16/2023
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH390041AChildDSHUNIONTOWN HOSPITALInfusion Services - Infusion100 Woodlawn AvenueUniontownPATerminated
DSH390041BChildDSHUNIONTOWN HOSPITALNeurology - Neurology100 Woodlawn AvenueUniontownPAActive
DSH390041CChildDSHUNIONTOWN HOSPITALGeneral Surgery - General Surgery100 Woodlawn AvenueUniontownPAActive
DSH390041DChildDSHUNIONTOWN HOSPITALCardiology - Cardiology100 Woodlawn AvenueUniontownPAActive
DSH390041EChildDSHUNIONTOWN HOSPITALInfusion Services - Medical Oncology100 Woodlawn AvenueUniontownPAActive
DSH390041FChildDSHUNIONTOWN HOSPITALSpecialty Care Clinic - HVI Vascular Surgery100 Woodlawn AvenueUniontownPAActive
DSH390041GChildDSHUNIONTOWN HOSPITALUrology - Urology100 Woodlawn AvenueUniontownPAActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressInsertGroup Change Request West Virginia United Health System Inc DBA Enterprise Pharmacy Solutions 781 Chestnut Ridge Rd Suite 600 Morgantown, WV 26505-001510/23/2024 6:48 AM
DetailsLast Recertification DateUpdateRecertification8/22/2023 4:16:18 PM8/22/2024 7:27:33 AM8/22/2024 7:27 AM
Medicaid BillingMedicaid: NumberDeleteGroup Change Request100763075-0000 (PA) 6/5/2024 11:18 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1558305961 (PA) 6/5/2024 11:18 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1861409773 (PA) 6/5/2024 11:18 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1801910989 (PA) 6/5/2024 11:18 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 18715941276/5/2024 11:18 AM
Medicaid BillingNPI: StateInsertGroup Change Request OH6/5/2024 11:18 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 12250451316/5/2024 11:18 AM
Medicaid BillingNPI: StateInsertGroup Change Request OH6/5/2024 11:18 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 18715941276/5/2024 11:18 AM
Medicaid BillingNPI: StateInsertGroup Change Request WV6/5/2024 11:18 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 12250451316/5/2024 11:18 AM
Medicaid BillingNPI: StateInsertGroup Change Request WV6/5/2024 11:18 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 18715941276/5/2024 11:18 AM
Medicaid BillingNPI: StateInsertGroup Change Request VA6/5/2024 11:18 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 12250451316/5/2024 11:18 AM
Medicaid BillingNPI: StateInsertGroup Change Request VA6/5/2024 11:18 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 18715941276/5/2024 11:18 AM
Medicaid BillingNPI: StateInsertGroup Change Request KY6/5/2024 11:18 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 12250451316/5/2024 11:18 AM
Medicaid BillingNPI: StateInsertGroup Change Request KY6/5/2024 11:18 AM
DetailsLast Recertification DateUpdateRecertification9/1/2022 8:25:54 AM8/22/2023 4:16:18 PM8/22/2023 4:16 PM
ContactsAuthorizing OfficialUpdateChange RequestShahan, Mary J Interim CFO Uniontown Hospital 3042901801Matusik, Lynn VP Finance Uniontown 72443057276/22/2023 7:56 AM
ContactsAuthorizing OfficialUpdateChange RequestGlover, Daniel Director of Finance Uniontown Hospital 7244305087Shahan, Mary J Interim CFO Uniontown Hospital 30429018014/4/2023 4:40 PM
ContactsAuthorizing OfficialUpdateChange RequestWeiss, Barbara Ann Executive Director, Finance/CFO Uniontown Hospital 7244305222Glover, Daniel Director of Finance Uniontown Hospital 72443050871/24/2023 7:15 AM
DetailsLast Recertification DateUpdateRecertification8/18/2021 11:07:06 AM9/1/2022 8:25:54 AM9/1/2022 8:25 AM
DetailsLast Recertification DateUpdateRecertification9/10/2020 4:38:35 PM8/18/2021 11:07:06 AM8/18/2021 11:07 AM
ContactsPrimary ContactUpdateChange RequestJOHNSON, WILLIAM F. Director of Pharmacy Uniontown Hospital 7244305298Johnson, William Frank Director of Pharmacy Uniontown Hospital 72443052984/22/2021 12:33 PM
ContactsAuthorizing OfficialUpdateAO Change RequestWeiss, Barbara A. Executive Director, Finance/CFO Uniontown Hospital 7244305222Weiss, Barbara Ann Executive Director, Finance/CFO Uniontown Hospital 72443052224/19/2021 1:19 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False9/10/2020 4:38 PM
Medicaid BillingMedicaid: NumberInsertRecertification 100763075-00009/10/2020 4:38 PM
Medicaid BillingMedicaid: StateInsertRecertification PA9/10/2020 4:38 PM
Medicaid BillingMedicaid: NumberDeleteRecertification10076307500 (PA) 9/10/2020 4:38 PM
Medicaid BillingNPI: StateUpdateRecertification PA9/10/2020 4:38 PM
Medicaid BillingNPI: StateUpdateRecertification PA9/10/2020 4:38 PM
Medicaid BillingNPI: StateUpdateRecertification PA9/10/2020 4:38 PM
Medicaid BillingNPI: StateUpdateRecertification PA9/10/2020 4:38 PM
Medicaid BillingNPI: StateUpdateRecertification PA9/10/2020 4:38 PM
DetailsLast Recertification DateUpdateRecertification8/22/2019 5:48:44 AM9/10/2020 4:38:35 PM9/10/2020 4:38 PM
DetailsLast Recertification DateUpdateRecertification8/15/2018 8:34:25 AM8/22/2019 5:48:44 AM8/22/2019 5:48 AM
DetailsLast Recertification DateUpdateRecertification11/8/2017 1:53:31 PM8/15/2018 8:34:25 AM8/15/2018 8:34 AM
DetailsLast Recertification DateUpdateRecertification8/31/2016 12:00:00 AM11/8/2017 1:53:31 PM11/8/2017 1:53 PM
ContactsAuthorizing OfficialUpdate Weiss, Barbara A. Executive Director, Finance/CFO 7244305222Weiss, Barbara A. Executive Director, Finance/CFO Uniontown Hospital 724430522210/18/2017 3:54 PM
ContactsPrimary ContactUpdate JOHNSON, WILLIAM F. Director of Pharmacy 7244305298JOHNSON, WILLIAM F. Director of Pharmacy Uniontown Hospital 724430529810/18/2017 9:43 AM
AddressesMain AddressInsert   500 WEST BERKELEY STREET UNIONTOWN, PA 1540111/15/2016 10:44 AM
ContactsPrimary ContactInsert  JOHNSON, WILLIAM F. Director of Pharmacy 724430529811/15/2016 10:44 AM
ContactsAuthorizing OfficialUpdate Handy, Steven President/CEO 7244305001Weiss, Barbara A. Executive Director, Finance/CFO 724430522211/15/2016 10:44 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False11/15/2016 10:44 AM
Medicaid BillingMedicaid: NumberInsert  1007630750011/15/2016 10:44 AM
Medicaid BillingMedicaid: StateInsert  PA11/15/2016 10:44 AM
Medicaid BillingNPI: NumberInsert  187159412711/15/2016 10:44 AM
Medicaid BillingNPI: NumberInsert  155830596111/15/2016 10:44 AM
Medicaid BillingNPI: NumberInsert  122504513111/15/2016 10:44 AM
Medicaid BillingNPI: NumberInsert  186140977311/15/2016 10:44 AM
Medicaid BillingNPI: NumberInsert  180191098911/15/2016 10:44 AM
ContactsAuthorizing OfficialInsert  Handy, Steven President/CEO 72443050018/31/2016 2:31 PM
DetailsLast Recertification DateUpdate 8/28/2015 12:00:00 AM8/31/2016 12:00:00 AM8/31/2016 2:31 PM
DetailsLast Recertification DateUpdate 9/3/2014 12:00:00 AM8/28/2015 12:00:00 AM8/28/2015 10:51 AM
DetailsLast Recertification DateUpdate 9/6/2013 12:00:00 AM9/3/2014 12:00:00 AM9/3/2014 1:47 PM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM9/6/2013 12:00:00 AM9/6/2013 1:29 PM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/21/2012 7:26 AM
DatesParticipating Approval DateUpdate 10/16/2007 9:04:27 AM10/16/2007 12:00:00 AM3/1/2012 9:39 AM
DetailsLast Recertification DateInsert   10/16/2007 9:07 AM
DetailsGrant NumberInsert   10/16/2007 9:07 AM
Details340B IDInsert  DSH39004110/16/2007 9:07 AM
DetailsIs Authorizing Official EHB DataInsert   10/16/2007 9:07 AM
DatesLast Date That 340B Drugs PurchasedInsert   10/16/2007 9:07 AM
DetailsMedicare Provider NumberInsert  39004110/16/2007 9:07 AM
DetailsEntity NameInsert  UNIONTOWN HOSPITAL10/16/2007 9:07 AM
DetailsProgram CodeInsert  DSH10/16/2007 9:07 AM
DetailsEntity SubnameInsert   10/16/2007 9:07 AM
DatesParticipating Approval DateInsert  10/16/2007 9:04:27 AM10/16/2007 9:07 AM
DetailsStateInsert  Active10/16/2007 9:07 AM
DatesRegistration DateInsert  10/16/2007 12:00:00 AM10/16/2007 9:07 AM
DatesSigned By DateInsert   10/16/2007 9:07 AM
DatesStart DateInsert  4/1/2005 12:00:00 AM10/16/2007 9:07 AM
TerminationsTermination CommentsInsert   10/16/2007 9:07 AM
TerminationsTermination DateInsert   10/16/2007 9:07 AM
TerminationsTermination Effective DateInsert   10/16/2007 9:07 AM
TerminationsTermination ReasonInsert   10/16/2007 9:07 AM