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DSH390226 THE PENNSYLVANIA HOSPITAL (Active)
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Main Details
Name
THE PENNSYLVANIA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390226
Medicare Provider Number
390226
Additional Details
Current Program Status
Active
Registration Date
1/3/2008
Participating Start Date
4/1/2004
Participating Approval Date
1/3/2008
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Pennsylvania Hospital
Lindsay Ayling, CFO
(215) 713-4943
Primary Contact
Pennsylvania Hospital
Glen Bianchini, Director of Pharmacy Services
(215) 829-5847
Addresses
Street Address
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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