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DSH390163J ARMSTRONG COUNTY MEMORIAL (Active)
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Main Details
Name
ARMSTRONG COUNTY MEMORIAL
Subdivision Name
ACMH RHEUMATOLOGY - Rheumatology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390163J
Medicare Provider Number
390163
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/6/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/29/2025
Last Recertification Date
Contacts
Authorizing Official
Armstrong County Memorial Hospital
Matthew F Kociola, Chief Financial Officer
(724) 543-8618
Primary Contact
Armstrong County Memorial Hospital
Nathan Stolitza, Senior Accountant
(724) 543-8781
Addresses
Street Address
500 MEDICAL ARTS BLDG
STE 510
KITTANNING, PA 16201-7137
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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