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DSH390056 JC BLAIR MEMORIAL HOSPITAL (dba PENN HIGHLANDS HUNTINGDON) (Active)
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Main Details
Name
JC BLAIR MEMORIAL HOSPITAL (dba PENN HIGHLANDS HUNTINGDON)
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390056
Medicare Provider Number
390056
Additional Details
Current Program Status
Active
Registration Date
10/2/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/29/2023
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Penn Highlands Healthcare
Mark Norman, COO
(814) 375-6608
Primary Contact
Penn Highlands Healthcare
Mike Pasternak, 340B Compliance Manager
(814) 375-6139
Addresses
Street Address
1225 WARM SPRINGS AVENUE
HUNTINGDON, PA 16652-2350
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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