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DSH390111DR THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA (Active)
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Main Details
Name
THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA
Subdivision Name
HEMONC EXTON - HemOnc Exton
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390111DR
Medicare Provider Number
390111
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/9/2025
Participating Start Date
4/1/2025
Participating Approval Date
3/7/2025
Last Recertification Date
Contacts
Authorizing Official
Hospital of the University of Pennsylvania
Elaine Maria Shiffler, Chief Financial Officer
(215) 662-6684
Primary Contact
The Hospital of the University of Pennsylvania
Alison Apple, Chief Pharmacy Officer
(215) 615-4710
Addresses
Street Address
700 WEST LINCOLN HWY
SUITE 720
EXTON, PA 19341-2547
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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