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CAH391314-00 TITUSVILLE AREA HOSPITAL (Active)
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Main Details
Name
TITUSVILLE AREA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH391314-00
Medicare Provider Number
391314
Additional Details
Current Program Status
Active
Registration Date
4/14/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/27/2015
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Titusville Area Hospital
Jill A Neely, CFO
(814) 827-8923
Primary Contact
Meadville Medical Center
Sandra J. Clark, 340B Coordinator
(814) 373-2244
Addresses
Street Address
406 WEST OAK STREET
TITUSVILLE, PA 16354
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/11/15 Hospital previously participated 9/30/2010 though 6/30/15 as SCH390122-00, converted to a CAH hospital effective 7/1/2015
05/27/2015
5/11/15; Hospital previously participated starting 9/30/2010 though 6/30/15 as SCH390122-00; Coverted to a CAH hospital effective 7/1/2015.
05/11/2015
April 2025
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