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DSH390028C UPMC MERCY (Terminated)
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Main Details
Name
UPMC MERCY
Subdivision Name
UPMC Mercy Southside Outpatient Center - Infusion Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390028C
Medicare Provider Number
390028
Outpatient Facility Provider Number
390028
Additional Details
Current Program Status
Terminated
Registration Date
6/5/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/26/2012
Last Recertification Date
12/6/2017
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
UPMC Mercy
Richard Bugni, Director of Finance
(412) 802-8231
Primary Contact
UPMC Mercy
Andrea Sargent, DIRECTOR, PHARMACY SERVICES
(412) 232-3696
Addresses
Street Address
2000 Mary Street
Pittsburgh, PA 15203
Billing Address
Procurement: HC Pharmacy Central
3175 East Carson St.
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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