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DSH390056H JC BLAIR MEMORIAL HOSPITAL (dba PENN HIGHLANDS HUNTINGDON) (Active)
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Main Details
Name
JC BLAIR MEMORIAL HOSPITAL (dba PENN HIGHLANDS HUNTINGDON)
Subdivision Name
PH CT Scan State College - CT Scanning
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390056H
Medicare Provider Number
390056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/6/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/12/2025
Last Recertification Date
Contacts
Authorizing Official
Penn Highlands Healthcare
Mark Norman, COO
(814) 375-6608
Primary Contact
Penn Highlands Healthcare
Mike Pasternak, 340B Compliance Manager
(814) 375-6139
Addresses
Street Address
239 COLONNADE BLVD
STATE COLLEGE, PA 16803
Billing Address
Penn Highlands Huntingdon
1225 Warm Springs Ave.
Huntingdon, PA 16652
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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