340B Drug Pricing Program Database
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CAH391314-06 TITUSVILLE AREA HOSPITAL (Active)
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Main Details
Name
TITUSVILLE AREA HOSPITAL
Subdivision Name
TITUSVILLE AREA HOSPITAL - Oil Valley Internal Med-Oil City
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH391314-06
Medicare Provider Number
391314
Outpatient Facility Provider Number
393441
Additional Details
Current Program Status
Active
Registration Date
10/23/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/15/2019
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Titusville Area Hospital
Jill A Neely, CFO
(814) 827-8923
Primary Contact
Meadville Medical Center
Sandra J. Clark, 340B Coordinator
(814) 373-2244
Addresses
Street Address
116 CENTRAL AVE
OIL VALLEY INTERNAL MEDICINE
OIL CITY, PA 16301-2736
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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