340B Drug Pricing Program Database
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CH030220J Broad Top Area Medical Center, Inc., (Active)
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Main Details
Name
Broad Top Area Medical Center, Inc.,
Subdivision Name
BTAMC Pediatric & Family Healthcare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037057
340B ID
CH030220J
Grant Number
H80CS00330
Additional Details
Current Program Status
Active
Registration Date
5/28/2019
Participating Start Date
7/1/2019
Participating Approval Date
6/4/2019
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Broad Top Area Medical Center, Inc.
John Roth, CEO
(814) 635-7351
Primary Contact
Broad Top Medical Center, Inc
Rita Hollibaugh, 340B Coordinator / Patient Access Programs Director
(814) 907-3400 Ext: 2209
Addresses
Street Address
6311 Margy Drive
Huntingdon, PA 16652-7565
Billing Address
BROAD TOP AREA MEDICAL CENTER, INC.
4133 MEDICAL CENTER DRIVE
BROAD TOP, PA 16621-9001
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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