340B Drug Pricing Program Database
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CH030220P Broad Top Area Medical Center, Inc., The (Active)
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Main Details
Name
Broad Top Area Medical Center, Inc., The
Subdivision Name
BTAMC, Inc. SHCMC Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035258
340B ID
CH030220P
Grant Number
H80CS00330
Additional Details
Current Program Status
Active
Registration Date
8/29/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/31/2022
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Broad Top Area Medical Center, Inc.
John Roth, CEO
(814) 635-7351
Primary Contact
Broad Top Medical Center, Inc
Rita Hollibaugh, 340B Coordinator / Patient Access Programs Director
(814) 907-3400 Ext: 2209
Addresses
Street Address
626 Water Street STE 2
Orbisonia, PA 17243
Billing Address
BROAD TOP AREA MEDICAL CENTER, INC.
4133 MEDICAL CENTER DRIVE
BROAD TOP, PA 16621-9001
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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