340B Drug Pricing Program Database
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DSH390090L West Penn Hospital (Terminated)
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Main Details
Name
West Penn Hospital
Subdivision Name
WEST PENN HOSPITAL OUTPATIENT SERVICES AT NEW KENSINGTON
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390090L
Medicare Provider Number
390090
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/18/2013
Last Recertification Date
9/5/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
West Penn Hospital
Brian Johnson, President & CEO
(412) 578-1176
Primary Contact
West Penn Hospital
Robert W Simpson, Director, Pharmacy
(412) 266-8693
Addresses
Street Address
651 FOURTH AVENUE
NEW KENSINGTON, PA 15068-6525
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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