340B Drug Pricing Program Database
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DSH390063F UPMC HAMOT (Terminated)
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Main Details
Name
UPMC HAMOT
Subdivision Name
UPMC HAMOT - Operating Room
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390063F
Medicare Provider Number
390063
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/26/2020
Last Recertification Date
8/22/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
UPMC Hamot
Brad N Dinger, CFO
(814) 877-3739
Primary Contact
UPMC Hamot
Michael Kuneman, Director, Pharmacy
(814) 877-2527
Addresses
Street Address
118 EAST 2ND STREET
MAGEE-WOMENS, UPMC HAMOT
ERIE, PA 16507-1502
Billing Address
HC Pharmacy Central- Procurement
3175 East Carson Street
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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