340B Drug Pricing Program Database
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DSH390146J WARREN GENERAL HOSPITAL (Active)
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Main Details
Name
WARREN GENERAL HOSPITAL
Subdivision Name
Sugar Grove Family Practice
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390146J
Medicare Provider Number
390146
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/4/2023
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Warren General Hospital
Kathryn E. Carlson, Executive Director of Operations
(814) 723-4973 Ext: 1370
Primary Contact
Warren General Hospital
Lily Nobles, Interim Pharmacy Director
(814) 723-3300 Ext: 1838
Addresses
Street Address
15 FOREST STREET
SUGAR GROVE, PA 16350
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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