340B Drug Pricing Program Database
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DSH390041G UNIONTOWN HOSPITAL (Active)
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Main Details
Name
UNIONTOWN HOSPITAL
Subdivision Name
Urology - Urology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390041G
Medicare Provider Number
390041
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/11/2023
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Uniontown
Lynn Matusik, VP Finance
(724) 430-5727
Primary Contact
Uniontown Hospital
William Frank Johnson, Director of Pharmacy
(724) 430-5298
Addresses
Street Address
100 Woodlawn Avenue
1st Floor
Uniontown, PA 15401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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