340B Drug Pricing Program Database


DSH330073X UNITED MEMORIAL MEDICAL CENTER (Terminated) - information as of 5/5/2025 12:04:12 AM

Main Details
UNITED MEMORIAL MEDICAL CENTER
UMMC ENDOCRINOLOGY CENTER - Endocrinology
Disproportionate Share Hospital
No
DSH330073X
330073


Additional Details
Terminated
7/17/2023
10/1/2023
8/7/2023

1/1/2024
Site closure

Contacts

Rochester Regional Health
Shawn Bishop, Vice President, RRH Revenue & Reimbursement
(585) 922-0056

RRH
Robert Michael Scardino, 340B Pharmacy System Manager
(585) 319-6750

Addresses

16 BANK ST
BATAVIA, NY 14020

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
NY00354283,034357291669747085,1902800352
Shipping Addresses

UNITED MEMORIAL MEDICAL CENTER
127 north street
batavia, NY 14020
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH330073AAChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC NEUROLOGY BMC - NEUROLOGY8103 Oak Orchard RdBataviaNYActive
DSH330073ABChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC PEDIATRICS BMC - Pediatrics8103 Oak Orchard RdBataviaNYActive
DSH330073ACChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC BARIATRIC BMC - Bariatrics8103 Oak Orchard RdBATAVIANYActive
DSH330073ADChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC SURG ASSOC BMC - General Surgery8103 Oak Orchard RdBataviaNYActive
DSH330073BChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC DIAB ENDO LEROY3 Tountas AveLeroyNYActive
DSH330073CChildDSHUNITED MEMORIAL MEDICAL CENTERLEROY DIAGNOSTIC & URGENT CARE CENTER8745 LAKE ROADLEROYNYTerminated
DSH330073GChildDSHUNITED MEMORIAL MEDICAL CENTERLEROY PRIMARY CARE3 TOUNTAS AVENUELEROYNYActive
DSH330073HChildDSHUNITED MEMORIAL MEDICAL CENTERTONAWANDA SENECA FAMILY CARE372 BLOOMINGDALE ROADBASOMNYTerminated
DSH330073JChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC PAIN CENTER BMC8103 Oak Orchard RoadBataviaNYActive
DSH330073KChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC FAMILY MED BMC8103 Oak Orchard RoadBataviaNYActive
DSH330073LChildDSHUNITED MEMORIAL MEDICAL CENTERWomen's Care Center - Medina11225 Maple Ridge RoadMedinaNYActive
DSH330073MChildDSHUNITED MEMORIAL MEDICAL CENTERUnited Memorial Women's Care Center - Batavia33 Chandler AvenueBataviaNYActive
DSH330073NChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC PC BATAVIA HLC211 E Main StreetBataviaNYActive
DSH330073PChildDSHUNITED MEMORIAL MEDICAL CENTERUnited Memorial Medical Center - Bergen Family Care6966 West Bergen RoadBergenNYActive
DSH330073QChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC ORTHO BMC8103 Oak Orchard RoadBataviaNYActive
DSH330073RChildDSHUNITED MEMORIAL MEDICAL CENTERUnited Memorial Medical Center - Urgent Care - Batavia16 Bank StreetBataviaNYTerminated
DSH330073SChildDSHUNITED MEMORIAL MEDICAL CENTERUNITED MEMORIAL MEDICAL CENTER - Genesee Orthopedics - Perry Satellite3 HANDLEY STPERRYNYTerminated
DSH330073TChildDSHUNITED MEMORIAL MEDICAL CENTERUNITED MEMORIAL MEDICAL CENTER - Attica Family Medicine107 PROSPECT STATTICANYTerminated
DSH330073UChildDSHUNITED MEMORIAL MEDICAL CENTERUNITED MEMORIAL MEDICAL CENTER - Genesee Orthopedics - Medina Satellite11225 MAPLE RIDGE RDMEDINANYActive
DSH330073VChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC ORTHO LEROY - Orthopedics3 TOUNTAS AVELeroyNYActive
DSH330073WChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC GI BATAVIA SUMMIT - Gastro229 SUMMIT ST.BataviaNYActive
DSH330073XChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC ENDOCRINOLOGY CENTER - Endocrinology16 BANK STBATAVIANYTerminated
DSH330073ZChildDSHUNITED MEMORIAL MEDICAL CENTERUMMC IMMD CARE BMC - Urgent Care8103 Oak Orchard RdbataviaNYActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate To Be TerminatedTerminated1/1/2024 12:01 AM
DatesLast Date That 340B Drugs PurchasedUpdateTermination Request 8/31/2023 12:00:00 AM11/16/2023 9:22 AM
DetailsStateUpdateTermination RequestActiveTo Be Terminated11/16/2023 9:22 AM
TerminationsTermination DateUpdateTermination Request 1/1/2024 12:00:00 AM11/16/2023 9:22 AM
TerminationsTermination Effective DateUpdateTermination Request 8/31/2023 12:00:00 AM11/16/2023 9:22 AM
TerminationsTermination ReasonUpdateTermination Request Site closure11/16/2023 9:22 AM
DetailsStateUpdate ApprovedActive10/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Bishop, Shawn Vice President, RRH Revenue & Reimbursement Rochester Regional Health 58592200568/7/2023 9:37 AM
Details340B IDUpdateNew Registration DSH330073X8/7/2023 9:37 AM
DetailsEntity SubnameUpdateNew RegistrationUMMC ENDOCRINOLOGY CENTERUMMC ENDOCRINOLOGY CENTER - Endocrinology8/7/2023 9:37 AM
DatesParticipating Approval DateUpdateNew Registration 8/7/2023 9:37:44 AM8/7/2023 9:37 AM
DetailsStateUpdateNew RegistrationPendingApproved8/7/2023 9:37 AM
DatesSigned By DateUpdateNew Registration 7/17/2023 4:11:07 PM8/7/2023 9:37 AM
DatesStart DateUpdateNew Registration 10/1/2023 12:00:00 AM8/7/2023 9:37 AM
AddressesMain AddressInsertNew Registration  16 BANK ST BATAVIA, NY 140207/17/2023 3:37 PM
AddressesShipping AddressInsertNew Registration UNITED MEMORIAL MEDICAL CENTER 127 north street batavia, NY 140207/17/2023 3:37 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/17/2023 3:37 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 003542837/17/2023 3:37 PM
Medicaid BillingMedicaid: StateInsertNew Registration NY7/17/2023 3:37 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/17/2023 3:37 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 034357297/17/2023 3:37 PM
Medicaid BillingMedicaid: StateInsertNew Registration NY7/17/2023 3:37 PM
Medicaid BillingNPI: NumberInsertNew Registration 16697470857/17/2023 3:37 PM
Medicaid BillingNPI: StateInsertNew Registration NY7/17/2023 3:37 PM
Medicaid BillingNPI: NumberInsertNew Registration 19028003527/17/2023 3:37 PM
Medicaid BillingNPI: StateInsertNew Registration NY7/17/2023 3:37 PM
ContactsPrimary ContactInsertNew Registration Scardino, Robert Michael 340B Pharmacy System Manager RRH 58531967507/17/2023 3:37 PM
ContactsAuthorizing OfficialInsertNew Registration Bishop, Shawn Vice President, RRH Revenue & Reimbursement Rochester Regional Health 58592200567/17/2023 3:37 PM
DetailsAssistance Received From DateInsertNew Registration  7/17/2023 3:37 PM
DetailsAssistance Received To DateInsertNew Registration  7/17/2023 3:37 PM
DetailsLast Recertification DateInsertNew Registration  7/17/2023 3:37 PM
DetailsGrant NumberInsertNew Registration  7/17/2023 3:37 PM
Details340B IDInsertNew Registration  7/17/2023 3:37 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/17/2023 3:37 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/17/2023 3:37 PM
DetailsMedicare Provider NumberInsertNew Registration 3300737/17/2023 3:37 PM
DetailsEntity NameInsertNew Registration UNITED MEMORIAL MEDICAL CENTER7/17/2023 3:37 PM
DetailsNOFO NumberInsertNew Registration  7/17/2023 3:37 PM
DetailsProgram CodeInsertNew Registration DSH7/17/2023 3:37 PM
DetailsEntity SubnameInsertNew Registration UMMC ENDOCRINOLOGY CENTER7/17/2023 3:37 PM
DatesParticipating Approval DateInsertNew Registration  7/17/2023 3:37 PM
DetailsStateInsertNew Registration Pending7/17/2023 3:37 PM
DatesRegistration DateInsertNew Registration 7/17/2023 3:37:55 PM7/17/2023 3:37 PM
DatesSigned By DateInsertNew Registration  7/17/2023 3:37 PM
DatesStart DateInsertNew Registration  7/17/2023 3:37 PM
TerminationsTermination CommentsInsertNew Registration  7/17/2023 3:37 PM
TerminationsTermination DateInsertNew Registration  7/17/2023 3:37 PM
TerminationsTermination Effective DateInsertNew Registration  7/17/2023 3:37 PM
TerminationsTermination ReasonInsertNew Registration  7/17/2023 3:37 PM