340B Drug Pricing Program Database
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CH030220F BROAD TOP AREA MEDICAL CENTER, INC. (Active)
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Main Details
Name
BROAD TOP AREA MEDICAL CENTER, INC.
Subdivision Name
BROAD TOP AREA MEDICAL CENTER, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000988
340B ID
CH030220F
Grant Number
H80CS00330
Additional Details
Current Program Status
Active
Registration Date
1/10/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/28/2017
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Broad Top Area Medical Center, Inc.
John Roth, CEO
(814) 635-7351
Primary Contact
Broad Top Medical Center, Inc
Rita Hollibaugh, 340B Coordinator / Patient Access Programs Director
(814) 907-3400 Ext: 2209
Addresses
Street Address
4133 MEDICAL CENTER DRIVE
BROAD TOP, PA 16621-9001
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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