340B Drug Pricing Program Database
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DSH390086FW DUBOIS REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
DUBOIS REGIONAL MEDICAL CENTER
Subdivision Name
Penn Highlands Neurosurgery Huntingdon - Neurosurgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390086FW
Medicare Provider Number
390086
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/13/2022
Last Recertification Date
9/12/2022
Termination Date
Termination Reason
1/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Penn Highlands Healthcare
Heather B Schneider, System CFO
(814) 375-6432
Primary Contact
Penn Highlands Healthcare
Bailey Voelker, 340B Coordinator
(814) 375-6625
Addresses
Street Address
820 Bryan Street
Suite 1
Huntingdon, PA 16652
Billing Address
Penn Highlands DuBois
100 Hospital Ave
PO Box 447
DuBois, PA 15801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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