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DSH390073A ALTOONA REGIONAL HEALTH SYSTEM (Terminated)
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Main Details
Name
ALTOONA REGIONAL HEALTH SYSTEM
Subdivision Name
University Pittsburgh Medical Center -ALTOONA / Health Force
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390073A
Medicare Provider Number
390073
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/26/2017
Last Recertification Date
Termination Date
Termination Reason
1/1/2018
DSH percentage below statutory minimum
Contacts
Authorizing Official
UPMC Altoona
Monica J Klatt, Chief Financial Officer
(814) 889-2223
Primary Contact
UPMC Altoona
Jill Breton, Director of Pharmacy
(814) 889-2825
Addresses
Street Address
1516 9TH AVE
UPMC ALTOONA STATION MEDICAL CENTER
ALTOONA, PA 16602-2417
Billing Address
HC Pharmacy Central-Procurement
3175 East Carson Street
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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