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UPMC CHILDRENS HOSPITAL OF PITTSBURGH
DSH390114 UPMC Magee-Womens Hospital
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Covered Entity Details
Entity Name
UPMC Magee-Womens Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390114
Entity Address
300 HALKET STREET
PITTSBURGH, PA 15213
Medicare Provider Number
390114
Participating Start Date
4/1/2003
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
UPMC CHILDRENS HOSPITAL OF PITTSBURGH
Pharmacy Address
4401 PENN AVE
PITTSBURGH, PA 15224-1334
Pharmacy Comments
Contract Details
Approval Date
7/12/2011
Contract Begin Date
7/15/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/14/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
5/24/2011
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