340B Drug Pricing Program Database
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RRC390067-56 PINNACLE HEALTH HOSPITALS (Active)
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Main Details
Name
PINNACLE HEALTH HOSPITALS
Subdivision Name
CRL - PHH Cardiology (870) - Nuclear Medicine
Type
Rural Referral Center
Rural
Yes
340B ID
RRC390067-56
Medicare Provider Number
390067
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2021
Participating Start Date
10/1/2021
Participating Approval Date
8/25/2021
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
UPMC Central PA
Greg Mitstifer, CFO
(717) 231-8245
Primary Contact
UPMC Presbyterian Shadyside
William Zacharie Camp, 340B Manager
(740) 606-0376
Addresses
Street Address
360 Alexander Spring Road
Carlisle, PA 17015
Billing Address
UPMC Harrisburg Attn: Pharmacy
111 South Front Street
Harrisburg, PA 17101
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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