340B Drug Pricing Program Database
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DSH390039B SOMERSET HOSPITAL (Active)
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Main Details
Name
SOMERSET HOSPITAL
Subdivision Name
SOM00 - Oncology - (48656)
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390039B
Medicare Provider Number
390039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/28/2023
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
UPMC Altoona
Monica J Klatt, Chief Financial Officer
(814) 889-2223
Primary Contact
UPMC Somerset
Gwen Greathouse, Pharmacy Director
(814) 443-5116
Addresses
Street Address
314 S. Kimberly Ave
Somerset, PA 15501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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