340B Drug Pricing Program Database
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DSH390164AB UPMC - PRESBYTERIAN SHADYSIDE (Active)
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Main Details
Name
UPMC - PRESBYTERIAN SHADYSIDE
Subdivision Name
SHY-Electrophysiology (30395) - HEART CATHERIZATION
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390164AB
Medicare Provider Number
390164
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/26/2020
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
UPMC Aids Center for Treatment
Jared Weiner, CFO, UPMC Presbyterian Shadyside
(412) 864-7000
Primary Contact
UPMC Presbyterian Shadyside
William Zacharie Camp, 340B Manager
(740) 606-0376
Addresses
Street Address
5230 Centre Avenue
Pittsburgh, PA 15232
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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