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PED393307-00 ST CHRISTOPHERS HOSPITAL FOR CHILDR (Active)
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Main Details
Name
ST CHRISTOPHERS HOSPITAL FOR CHILDR
Subdivision Name
Type
Children's Hospital
Rural
No
340B ID
PED393307-00
Medicare Provider Number
393307
Additional Details
Current Program Status
Active
Registration Date
4/14/2021
Participating Start Date
7/1/2021
Participating Approval Date
5/12/2021
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
ST CHRISTOPHER’S HOSPITAL FOR CHILDREN
Edward Bleacher, Chief Financial Officer
(610) 506-6265
Primary Contact
St Christopher Hospital
Kristan O'Rourke, 340B Analyst
(215) 427-5000 Ext: 5509
Addresses
Street Address
160 East Erie Ave
PHILADELPHIA, PA 19134
Billing Address
St. Christopher’s Hospital for Children
160 East Erie Avenue
Philadelphia, PA 19134
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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