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DSH390090 West Penn Hospital (Active)
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Main Details
Name
West Penn Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390090
Medicare Provider Number
390090
Additional Details
Current Program Status
Active
Registration Date
10/19/2005
Participating Start Date
10/20/2005
Participating Approval Date
10/20/2005
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
West Penn Hospital
Brian Johnson, President & CEO
(412) 578-1176
Primary Contact
West Penn Hospital
Robert W Simpson, Director, Pharmacy
(412) 266-8693
Addresses
Street Address
4800 FRIENDSHIP AVE
PITTSBURGH, PA 15224-1722
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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