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RRC390163-00 Armstrong County Memorial Hospital (Terminated)
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Main Details
Name
Armstrong County Memorial Hospital
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC390163-00
Medicare Provider Number
390163
Additional Details
Current Program Status
Terminated
Registration Date
1/30/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/5/2012
Last Recertification Date
8/24/2020
Termination Date
Termination Reason
10/1/2021
Change of covered entity type
Contacts
Authorizing Official
Armstrong County Memorial Hospital
Matthew F Kociola, Chief Financial Officer
(724) 543-8618
Primary Contact
Armstrong County Memorial Hospital
Nathan Stolitza, Senior Accountant
(724) 543-8781
Addresses
Street Address
One Nolte Drive
Kittanning, PA 16201
Billing Address
HC Pharmacy – Procurement,
3175 East Carson Street
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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