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CH030220C BROAD TOP AREA MEDICAL CENTER, INC., THE (Terminated)
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Main Details
Name
BROAD TOP AREA MEDICAL CENTER, INC., THE
Subdivision Name
Broad Top Area Medical Center Pediatric / Women's Care Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018438
340B ID
CH030220C
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
2/9/2019
Termination Date
Termination Reason
7/1/2019
Other
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
1225 Warm Springs Ave.
Huntingdon, PA 16652
Billing Address
Broad Top Area Medical Center-Peds / Women's
4133 Medical Center Drive
Broad Top, PA 16621
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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