340B Drug Pricing Program Database
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DSH330197BF CANTON-POTSDAM HOSPITAL (Active)
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Main Details
Name
CANTON-POTSDAM HOSPITAL
Subdivision Name
CPH PODIATRY AT MH - podiatry
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330197BF
Medicare Provider Number
330197
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/23/2024
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
181 MAPLE ST
b
Massena, NY 13662
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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