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CH030220D BROAD TOP AREA MEDICAL CENTER, INC. (Terminated)
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Main Details
Name
BROAD TOP AREA MEDICAL CENTER, INC.
Subdivision Name
Broad Top Area Medical Center Trough Creek
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018364
340B ID
CH030220D
Grant Number
H80CS00330
Additional Details
Current Program Status
Terminated
Registration Date
1/10/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/28/2017
Last Recertification Date
2/19/2021
Termination Date
Termination Reason
4/1/2022
Site closure
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
478 Seminary Street
Cassville, PA 16623
Billing Address
Broad Top Area Medical Center-Trough Creek
4133 Medical Center Drive
Broad Top, PA 16621-9001
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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