340B Drug Pricing Program Database
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DSH330073AC UNITED MEMORIAL MEDICAL CENTER (Active)
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Main Details
Name
UNITED MEMORIAL MEDICAL CENTER
Subdivision Name
UMMC BARIATRIC BMC - Bariatrics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330073AC
Medicare Provider Number
330073
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/6/2024
Last Recertification Date
Contacts
Authorizing Official
Rochester Regional Health
Shawn Bishop, Vice President, RRH Revenue & Reimbursement
(585) 922-0056
Primary Contact
RRH
Robert Michael Scardino, 340B Pharmacy System Manager
(585) 319-6750
Addresses
Street Address
8103 Oak Orchard Rd
BATAVIA, NY 14020-1092
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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