340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH390223A PENN PRESBYTERIAN MEDICAL CENTER (Terminated)
Print
Main Details
Name
PENN PRESBYTERIAN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390223A
Medicare Provider Number
390223
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
11/26/2007
Participating Start Date
7/1/2004
Participating Approval Date
11/26/2007
Last Recertification Date
11/9/2017
Termination Date
Termination Reason
4/1/2018
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
PPMC
ANTHONY ZUMPANO, CFO
(216) 662-9701
Primary Contact
Penn Presbyterian Medical Center
Nishaminy Kasbekar, Director of Pharmacy
(215) 662-9780
Addresses
Street Address
51 North 39th Street
PHILADELPHIA, PA 19104-2640
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
8/20/08-DOC RECD TO CONFIRM ELIG DSH ADJ %; 11/26/07-NAME CHANGE (WAS PRESBYTERIAN MEDICAL CENTER OF THE UNIV OF PA HEALTH SYSTEM/DBA UNIV OF PA MEDICAL CENTER - PRESBYTERIAN;01/10/11UPDATED ADDR. WAS(39TH & MARKET STREETS CUPP BASEMENT)
01/10/2011
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session