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CAH391312-04 BROOKVILLE HOSPITAL (Active)
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Main Details
Name
BROOKVILLE HOSPITAL
Subdivision Name
Penn Highlands Center for Children's Care
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH391312-04
Medicare Provider Number
391312
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/5/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/9/2017
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Penn Highlands Healthcare
Mark Norman, COO
(814) 375-6608
Primary Contact
Penn Highlands Healthcare
Mike Pasternak, 340B Compliance Manager
(814) 375-6139
Addresses
Street Address
271 Railroad Street
Philipsburg, PA 16866
Billing Address
Brookville Hospital
100 Hospital Road
Brookville, PA 15825
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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