340B Drug Pricing Program Database
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CAH391301-00 MUNCY VALLEY HOSPITAL (Active)
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Main Details
Name
MUNCY VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH391301-00
Medicare Provider Number
391301
Additional Details
Current Program Status
Active
Registration Date
10/28/2010
Participating Start Date
1/1/2011
Participating Approval Date
10/29/2010
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
UPMC Susquehanna
Roger C Yost, CFO, North-Central PA Region
(570) 321-3175
Primary Contact
UPMC
Anna V. Michalak, 340B Manager
(704) 438-7126
Addresses
Street Address
215 E. WATER STREET
MUNCY, PA 17756
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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04/10/2013 removed WILLIAMSPORT HOSPITAL as shipping address, confirmed with covered entity shipping location is not an in-house pharmacy, refer to contract pharmacy listing
04/10/2013
April 2025
April 2025
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