340B Drug Pricing Program Database
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CAH391307-00 TYRONE HOSPITAL (Active)
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Main Details
Name
TYRONE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH391307-00
Medicare Provider Number
391307
Additional Details
Current Program Status
Active
Registration Date
9/15/2010
Participating Start Date
9/23/2010
Participating Approval Date
9/23/2010
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Penn Highlands Healthcare
Mark Norman, COO
(814) 375-6608
Primary Contact
Penn Highlands Healthcare
Mike Pasternak, 340B Compliance Manager
(814) 375-6139
Addresses
Street Address
187 HOSPITAL DRIVE
TYRONE, PA 16686
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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