340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
DSH390045 WILLIAMSPORT HOSPITAL & MEDICAL CTR (Terminated)
Print
Main Details
Name
WILLIAMSPORT HOSPITAL & MEDICAL CTR
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390045
Medicare Provider Number
390045
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2023
Participating Start Date
4/1/2023
Participating Approval Date
3/8/2023
Last Recertification Date
8/24/2023
Termination Date
Termination Reason
10/1/2024
Change of covered entity type
Contacts
Authorizing Official
UPMC Susquehanna
Roger C Yost, CFO, North-Central PA Region
(570) 321-3175
Primary Contact
UPMC
Anna V. Michalak, 340B Manager
(704) 438-7126
Addresses
Street Address
700 HIGH STREET
WILLIAMSPORT, PA 17701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session