340B Drug Pricing Program Database
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RRC390067-67 PINNACLE HEALTH HOSPITALS (Terminated)
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Main Details
Name
PINNACLE HEALTH HOSPITALS
Subdivision Name
FOC - Heart Failure Center (221) - Heart Failure Clinic
Type
Rural Referral Center
Rural
Yes
340B ID
RRC390067-67
Medicare Provider Number
390067
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/7/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/2/2022
Last Recertification Date
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
UPMC Central PA
Greg Mitstifer, CFO
(717) 231-8245
Primary Contact
UPMC Central Pa. Region
Jennifer Dudeck, 340B Program Manager
(717) 782-3338
Addresses
Street Address
2005 Technology Parkway
Suite 300
Mechanicsburg, PA 17050
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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