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DSH390028N UPMC MERCY (Terminated)
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Main Details
Name
UPMC MERCY
Subdivision Name
UPMC Mercy Health Center GI Clinic - Gastroenterology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390028N
Medicare Provider Number
390028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/13/2019
Last Recertification Date
9/8/2021
Termination Date
Termination Reason
10/1/2022
Other
Contacts
Authorizing Official
UPMC
Ron Wesley Deems, CFO Mercy and Magee
(412) 576-8808
Primary Contact
UPMC Mercy
Andrea Sargent, DIRECTOR, PHARMACY SERVICES
(412) 232-3696
Addresses
Street Address
1515 Locust Street
5th Floor
Pittsburgh, PA 15219-5166
Billing Address
HC Pharmacy Central
3175 East Carson Street
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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