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CAH391312-09 BROOKVILLE HOSPITAL (Terminated)
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Main Details
Name
BROOKVILLE HOSPITAL
Subdivision Name
Penn Highlands Urology Brookville
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH391312-09
Medicare Provider Number
391312
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/18/2022
Last Recertification Date
9/7/2022
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Penn Highlands Brookville
JULIANNE PEER, President
(814) 849-1461
Primary Contact
Penn Highlands Healthcare
Mike Pasternak, 340B Compliance Manager
(814) 375-6139
Addresses
Street Address
88 Hospital Road
Brookville, PA 15825
Billing Address
Brookville Hospital
100 Hospital Road
Brookville, PA 15825
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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