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DSH330044BX MVHS, Inc. DBA: Wynn Hospital (Active)
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Main Details
Name
MVHS, Inc. DBA: Wynn Hospital
Subdivision Name
Comm Med - Infectious Disease - Infectious Disease
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330044BX
Medicare Provider Number
330044
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/1/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/9/2024
Last Recertification Date
Contacts
Authorizing Official
MVHS Inc, DBA Wynn Hospital
Louis Aiello, Sr. VP Finance/ CFO
(315) 917-8213
Primary Contact
MVHS, Inc. DBA: Wynn Hospital
James Humphrey, AVP Finance/ Controller
(315) 801-4326
Addresses
Street Address
6 Hampden Place
Utica, NY 13502
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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