340B Drug Pricing Program Database
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CH03230H KEYSTONE RURAL HEALTH CONSORTIA INC (Active)
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Main Details
Name
KEYSTONE RURAL HEALTH CONSORTIA INC
Subdivision Name
Ridgway Area Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-025000
340B ID
CH03230H
Grant Number
H80CS00688
Additional Details
Current Program Status
Active
Registration Date
7/10/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
1/29/2024
Contacts
Authorizing Official
Keystone Rural Health Consortia, Inc.
Kristie Bennardi, CEO
(814) 486-1115
Primary Contact
Keystone Rural Health Consortia, Inc.
Danielle Reed, Staff Accountant
(814) 486-1115 Ext: 501
Addresses
Street Address
49 Ridgmont Drive
1
Ridgway, PA 15853
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2024
June 2024
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