340B Drug Pricing Program Database
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DSH390063 UPMC HAMOT (Active)
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Main Details
Name
UPMC HAMOT
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390063
Medicare Provider Number
390063
Additional Details
Current Program Status
Active
Registration Date
1/11/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/10/2015
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
UPMC Hamot
Brad N Dinger, CFO
(814) 877-3739
Primary Contact
UPMC
Amanda Pell, Manager, 340B Program
(814) 771-8354
Addresses
Street Address
201 STATE STREET
ERIE, PA 16550
Billing Address
UPMC Presbyterian Shadyside DBA UPMC Pharmacy Supply Chain
PO Box 2058
Portland, OR 97208
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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