340B Drug Pricing Program Database
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DSH390028P UPMC MERCY (Terminated)
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Main Details
Name
UPMC MERCY
Subdivision Name
MERCY - SS Collection Center - Infusion (30683)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390028P
Medicare Provider Number
390028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/26/2022
Last Recertification Date
8/25/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
UPMC
Jonathan Petrie, CFO UPMC Magee and Mercy
(412) 578-9416
Primary Contact
UPMC Mercy
Andrea Sargent, DIRECTOR, PHARMACY SERVICES
(412) 232-3696
Addresses
Street Address
2000 Mary Street
Pittsburgh
Pittsburgh, PA 15203
Billing Address
HC Pharmacy Central Inc.
3175 East Carson Street
Pittsburgh, PA 15203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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