Covered Entity Details

DSH330115A ONEIDA HEALTHCARE CENTER (Active) - information as of 5/5/2025 11:51:17 PM

Main Details

Name

ONEIDA HEALTHCARE CENTER

Subdivision Name

Canastota-Lenox Health Center

Type

Disproportionate Share Hospital

Rural

340B ID

DSH330115A

Medicare Provider Number

330115

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

10/8/2014

Participating Start Date

1/1/2015

Participating Approval Date

12/4/2014

Last Recertification Date

8/23/2024

Contacts

Authorizing Official

Oneida Health
Jeremiah Sweet, CFO
(315) 361-2300

Primary Contact

Oneida Healthcare
Lori Dorsey, Controller
(315) 361-2145

Addresses

Street Address

115 Center St.
Canastota, NY 13032

Billing Address

Oneida Healthcare
321 Genesee Street
Oneida, NY 13421

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
NY	00310903	1962408203

Shipping Addresses

Shipping Address 1

Oneida Healthcare
321 Genesee Street
Oneida, NY 13421

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH330115A	Child	DSH	ONEIDA HEALTHCARE CENTER	Canastota-Lenox Health Center	115 Center St.	Canastota	NY	Active
DSH330115B	Child	DSH	ONEIDA HEALTHCARE CENTER	Verona Health Center	5547 W. Main Street	Verona	NY	Active
DSH330115C	Child	DSH	ONEIDA HEALTHCARE CENTER	Chittenango Health Center	153 W. Genesee St.	Chittenango	NY	Active
DSH330115D	Child	DSH	ONEIDA HEALTHCARE CENTER	Maternal Health Canter	221 Broad Street	Oneida	NY	Active
DSH330115E	Child	DSH	ONEIDA HEALTHCARE CENTER	Chittenango Internal Medicine / Internal Medicine	153 W Genesee St	Chittenango	NY	Active
DSH330115F	Child	DSH	ONEIDA HEALTHCARE CENTER	GORMAN IMAGING CENTER	139 FIELDS DR	ONEIDA	NY	Active
DSH330115G	Child	DSH	ONEIDA HEALTHCARE CENTER	HARDEN BLVD HEALTH CENTER / radiology	9562 STATE ROUTE 13	CAMDEN	NY	Active
DSH330115H	Child	DSH	ONEIDA HEALTHCARE CENTER	ONEIDA HEALTH CANCER CARE - Oncology Clinic	604 Seneca Street	Oneida	NY	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	8/18/2023 3:48:27 PM	8/23/2024 11:25:31 AM	8/23/2024 11:25 AM
Details	Last Recertification Date	Update	Recertification	8/31/2022 4:55:16 PM	8/18/2023 3:48:27 PM	8/18/2023 3:48 PM
Details	Last Recertification Date	Update	Recertification	8/24/2021 3:27:04 PM	8/31/2022 4:55:16 PM	8/31/2022 4:55 PM
Contacts	Authorizing Official	Update	Change Request	Morreale, Gene CEO Oneida Healthcare 3153612300	Sweet, Jeremiah CFO Oneida Health 3153612300	3/14/2022 6:27 AM
Details	Last Recertification Date	Update	Recertification	9/8/2020 9:49:11 AM	8/24/2021 3:27:04 PM	8/24/2021 3:27 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1962408203	9/8/2020 9:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		NY	9/8/2020 9:49 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1962408203 ( )		9/8/2020 9:49 AM
Details	Last Recertification Date	Update	Recertification	8/21/2019 10:32:36 AM	9/8/2020 9:49:11 AM	9/8/2020 9:49 AM
Details	Last Recertification Date	Update	Recertification	8/17/2018 10:28:38 AM	8/21/2019 10:32:36 AM	8/21/2019 10:32 AM
Details	Last Recertification Date	Update	Recertification	11/13/2017 9:19:35 AM	8/17/2018 10:28:38 AM	8/17/2018 10:28 AM
Details	Last Recertification Date	Update	Recertification	10/25/2017 4:49:59 PM	11/13/2017 9:19:35 AM	11/13/2017 9:19 AM
Details	Last Recertification Date	Update	Recertification	8/12/2016 12:00:00 AM	10/25/2017 4:49:59 PM	10/25/2017 4:49 PM
Contacts	Authorizing Official	Update		Morreale, Gene CEO 3153612300	Morreale, Gene CEO Oneida Healthcare 3153612300	10/2/2017 12:59 PM
Contacts	Primary Contact	Update		Dorsey, Lori Controller 3153612145	Dorsey, Lori Controller Oneida Healthcare 3153612145	9/29/2017 8:31 AM
Contacts	Signed By	Insert			Milligan, John CFO 3153612088	6/22/2017 2:59 PM
Contacts	Authorizing Official	Insert			Morreale, Gene CEO 3153612300	3/13/2017 12:12 PM
Contacts	Primary Contact	Insert			Dorsey, Lori Controller 3153612145	3/13/2017 12:12 PM
Addresses	Main Address	Insert			115 Center St. Canastota, NY 13032	3/13/2017 12:12 PM
Addresses	Billing Address	Insert			Oneida Healthcare 321 Genesee Street Oneida, NY 13421	3/13/2017 12:12 PM
Addresses	Shipping Address	Insert			Oneida Healthcare 321 Genesee Street Oneida, NY 13421	3/13/2017 12:12 PM
Details	Last Recertification Date	Update		8/12/2015 12:00:00 AM	8/12/2016 12:00:00 AM	8/12/2016 8:29 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	1/12/2016 1:31 PM
Medicaid Billing	Medicaid: Number	Insert			00310903	1/12/2016 1:31 PM
Medicaid Billing	Medicaid: State	Insert			NY	1/12/2016 1:31 PM
Medicaid Billing	NPI: Number	Insert			1962408203	1/12/2016 1:31 PM
Details	Last Recertification Date	Update			8/12/2015 12:00:00 AM	8/12/2015 9:36 PM
Dates	Participating Approval Date	Update			12/4/2014 12:00:00 AM	12/4/2014 5:45 PM
Details	State	Update		Pending	Active	12/4/2014 5:45 PM
Dates	Start Date	Update			1/1/2015 12:00:00 AM	12/4/2014 5:45 PM
Details	Entity Subname	Update		Methodist North Hospital	Canastota-Lenox Health Center	10/26/2014 10:28 PM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_46681	DSH330115A	10/10/2014 1:11 PM
Details	Entity Subname	Update		Canastota-Lenox Health Center	Methodist North Hospital	10/10/2014 1:11 PM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_46681	10/8/2014 8:01 AM
Details	Last Recertification Date	Insert				10/8/2014 8:01 AM
Details	Grant Number	Insert				10/8/2014 8:01 AM
Details	340B ID	Insert				10/8/2014 8:01 AM
Details	Is Authorizing Official EHB Data	Insert				10/8/2014 8:01 AM
Dates	Last Date That 340B Drugs Purchased	Insert				10/8/2014 8:01 AM
Details	Medicare Provider Number	Insert			330115	10/8/2014 8:01 AM
Details	Entity Name	Insert			ONEIDA HEALTHCARE CENTER	10/8/2014 8:01 AM
Details	Program Code	Insert			DSH	10/8/2014 8:01 AM
Details	Entity Subname	Insert			Canastota-Lenox Health Center	10/8/2014 8:01 AM
Dates	Participating Approval Date	Insert				10/8/2014 8:01 AM
Details	State	Insert			Pending	10/8/2014 8:01 AM
Dates	Registration Date	Insert			10/8/2014 12:00:00 AM	10/8/2014 8:01 AM
Dates	Signed By Date	Insert			10/8/2014 12:00:00 AM	10/8/2014 8:01 AM
Dates	Start Date	Insert				10/8/2014 8:01 AM
Terminations	Termination Comments	Insert				10/8/2014 8:01 AM
Terminations	Termination Date	Insert				10/8/2014 8:01 AM
Terminations	Termination Effective Date	Insert				10/8/2014 8:01 AM
Terminations	Termination Reason	Insert				10/8/2014 8:01 AM