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HV01703B Kensington Hospital- Erie Medical Center (Terminated)
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Main Details
Name
Kensington Hospital- Erie Medical Center
Subdivision Name
Kensington Hospital
Type
Ryan White Part C
340B ID
HV01703B
Grant Number
H76HA01703
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/30/2017
Last Recertification Date
2/23/2018
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2019
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Kensington Hospital
Kathleen Lalli, Chief Executive Officer
(215) 426-8100 Ext: 6502
Primary Contact
Kensington Hospital
Maria Zukowski, Executive Assistant
(215) 426-8100 Ext: 6502
Addresses
Street Address
516 W. Erie Avenue
Philadelphia, PA 19140
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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