340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH390090N West Penn Hospital (Active)
Print
Main Details
Name
West Penn Hospital
Subdivision Name
WEST PENN HOSPITAL OUTPATIENT SERVICES AT JEFFERSON
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390090N
Medicare Provider Number
390090
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/10/2015
Last Recertification Date
8/21/2024
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
575 Coal Valley Rd
FL 4
Jefferson Hills, PA 15025-3730
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session