340B Drug Pricing Program Database
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DSH330239 UPMC CHAUTAUQUA AT WCA (Active)
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Main Details
Name
UPMC CHAUTAUQUA AT WCA
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330239
Medicare Provider Number
330239
Additional Details
Current Program Status
Active
Registration Date
7/10/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/23/2019
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
UPMC Hamot
Brad N Dinger, CFO
(814) 877-3739
Primary Contact
UPMC
Amanda Pell, Manager, 340B Program
(814) 771-8354
Addresses
Street Address
207 Foote Avenue
JAMESTOWN, NY 14701
Billing Address
UPMC Presbyterian Shadyside DBA UPMC Pharmacy Supply Chain
PO Box 2058
Portland, OR 97208
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start date 7/1/2019. Termination date 7/1/2019. Reinstatement date 10/1/2019.
07/23/2019
Participating start date 4/1/2019, Termination date 4/1/2019, Reinstatement 7/1/2019
04/16/2019
Participated starting 10/1/2010; Terminated 10/1/2015; Reinstated 4/1/2019.
02/15/2019
May 2025
May 2025
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