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SCH390199-00 PUNXSUTAWNEY AREA HOSPITAL (Active)
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Main Details
Name
PUNXSUTAWNEY AREA HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH390199-00
Medicare Provider Number
390199
Additional Details
Current Program Status
Active
Registration Date
1/6/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/10/2015
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Punxsutawney Area Hospital
Jack Sisk, President
(814) 938-1882
Primary Contact
Punxsutawney Area Hospital
Tom P Moore, Pharmacy Director
(814) 938-1828
Addresses
Street Address
81 HILLCREST DRIVE
PUNXSUTAWNEY, PA 15767
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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