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DSH390163 ARMSTRONG COUNTY MEMORIAL (Active)
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Main Details
Name
ARMSTRONG COUNTY MEMORIAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390163
Medicare Provider Number
390163
Additional Details
Current Program Status
Active
Registration Date
7/7/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/28/2021
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Armstrong County Memorial Hospital
Matthew F Kociola, Chief Financial Officer
(724) 543-8618
Primary Contact
Armstrong County Memorial Hospital
Nathan Stolitza, Senior Accountant
(724) 543-8781
Addresses
Street Address
ONE NOLTE DRIVE
KITTANNING, PA 16201
Billing Address
ARMSTRONG COUNTY MEMORIAL
ONE NOLTE DRIVE
KITTANNING, PA 16201
Comments
Medicaid Billing
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Contract Pharmacies
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