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DSH390009 SAINT VINCENT HEALTH CENTER (Active)
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Main Details
Name
SAINT VINCENT HEALTH CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390009
Medicare Provider Number
390009
Additional Details
Current Program Status
Active
Registration Date
6/2/2008
Participating Start Date
7/1/2008
Participating Approval Date
6/3/2008
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
SAINT VINCENT HEALTH CENTER
RANDOLPH LEVIS, CFO
(814) 452-5132
Primary Contact
SAINT VINCENT HEALTH CENTER
Rebecca Nick-Dart, Director of Pharmacy
(814) 452-5837
Addresses
Street Address
232 WEST 25TH STREET
ERIE, PA 16544-0002
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/2/09 ADDED SHIPPING ADDRESS
06/02/2008
April 2025
April 2025
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