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SCH390056-00 PENN HIGHLANDS HUNTINGDON (Terminated)
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Main Details
Name
PENN HIGHLANDS HUNTINGDON
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH390056-00
Medicare Provider Number
390056
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2021
Participating Start Date
7/21/2021
Participating Approval Date
7/21/2021
Last Recertification Date
8/15/2023
Termination Date
Termination Reason
1/1/2024
Change of covered entity type
Contacts
Authorizing Official
Penn Highlands Huntingdon
Joseph Myers, President
(814) 935-7149
Primary Contact
Penn Highlands Healthcare
Mike Pasternak, 340B Compliance Manager
(814) 375-6139
Addresses
Street Address
1225 WARM SPRINGS AVENUE
HUNTINGDON, PA 16652-2350
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2011, terminated 7/1/2020. Reinstated 7/21/2021.
07/21/2021
04/13/11 CHANGED ADDR.(WAS 1225 WARM SPRINGS AVE)
04/13/2011
May 2025
May 2025
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