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SCH330136-95 MARY IMOGENE BASSETT HOSPITAL (Active)
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Main Details
Name
MARY IMOGENE BASSETT HOSPITAL
Subdivision Name
BASSETT HC ONEONTA SPECIALTY SVCS - Oneonta Specialty Services
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH330136-95
Medicare Provider Number
330136
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/2/2024
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Bassett Healthcare Network
James Vielkind, Vice President Finance
(315) 823-5281
Primary Contact
Bassett Healthcare - Cooperstown, NY
Kim Metcalf, Chief Pharmacy Officer
(860) 975-5636
Addresses
Street Address
1 ASSOCIATE DR
ONEONTA, NY 13820-2266
Billing Address
Mary Imogene Bassett Hospital
1 Atwell Road
Cooperstown, NY 13326
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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