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DSH390090A West Penn Hospital (Active)
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Main Details
Name
West Penn Hospital
Subdivision Name
OUTPATIENT SERVICE AT ALLEGHENY VALLEY HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390090A
Medicare Provider Number
390090
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/3/2008
Participating Start Date
9/5/2008
Participating Approval Date
9/5/2008
Last Recertification Date
8/21/2024
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
1301 CARLISLE ST
NATRONA HEIGHTS, PA 15065-1152
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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