340B Drug Pricing Program Database
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DSH390197 SACRED HEART HOSPITAL (Terminated)
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Main Details
Name
SACRED HEART HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390197
Medicare Provider Number
390197
Additional Details
Current Program Status
Terminated
Registration Date
6/12/2008
Participating Start Date
7/1/2008
Participating Approval Date
6/16/2008
Last Recertification Date
9/10/2020
Termination Date
Termination Reason
2/2/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
St Lukes Hospital, Sacred Heart Campus
Brian Wessner, Director of Finance
(610) 776-4713
Primary Contact
St Lukes Hospital, Sacred Heart Campus
Paul Marino, Director of Pharmacy
(610) 776-4828
Addresses
Street Address
421 CHEW STREET
ALLENTOWN, PA 18102
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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