340B Drug Pricing Program Database
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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
RRC390045-00 WILLIAMSPORT HOSPITAL & MEDICAL CTR (Active)
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Main Details
Name
WILLIAMSPORT HOSPITAL & MEDICAL CTR
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC390045-00
Medicare Provider Number
390045
Additional Details
Current Program Status
Active
Registration Date
7/3/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/9/2024
Last Recertification Date
Contacts
Authorizing Official
UPMC Susquehanna
Roger C Yost, CFO, North-Central PA Region
(570) 321-3175
Primary Contact
UPMC
Anna V. Michalak, 340B Manager
(704) 438-7126
Addresses
Street Address
700 HIGH STREET
WILLIAMSPORT, PA 17701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2018; Terminated 4/1/2023; Reinstated 10/1/2024.
08/09/2024
Participating 10/1/2017;until terminated effective 1/1/2018; reinstated effective 7/1/2018.
04/12/2018
April 2025
April 2025
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