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DSH390223C PENN PRESBYTERIAN MEDICAL CENTER (Terminated)
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Main Details
Name
PENN PRESBYTERIAN MEDICAL CENTER
Subdivision Name
Family Practice
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390223C
Medicare Provider Number
390223
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2013
Participating Start Date
10/1/2013
Participating Approval Date
7/9/2013
Last Recertification Date
8/11/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
PPMC
ANTHONY ZUMPANO, CFO
(216) 662-9701
Primary Contact
Penn Presbyterian Medical Center
Nishaminy Kasbekar, Director of Pharmacy
(215) 662-9780
Addresses
Street Address
3819 Chestnut Street
Philadelphia, PA 19104
Billing Address
PENN Presbyterian Medical Center
51 North 39th Street
Philadelphia, PA 19104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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