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DSH330090AL ARNOT OGDEN MEDICAL CENTER (Active)
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Main Details
Name
ARNOT OGDEN MEDICAL CENTER
Subdivision Name
Behavioral Services Unit (BSU) at SJH - Behavioral Health
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330090AL
Medicare Provider Number
330090
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/30/2024
Last Recertification Date
Contacts
Authorizing Official
Arnot Ogden Medical Center
Ronette Wiley, Senior Vice President and Chief Operating Officer
(607) 737-4486
Primary Contact
Arnot Ogden Medical Center
Rebecca Sue Carr-Reynolds, Interim Systems Director of Pharmacy
(607) 737-4283
Addresses
Street Address
571 Saint Josephs Blvd
304
Elmira, NY 14901
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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