340B Drug Pricing Program Database
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DSH330096U JONES MEMORIAL HOSPITAL (Approved)
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Main Details
Name
JONES MEMORIAL HOSPITAL
Subdivision Name
JMH OLEAN CLINIC/INFUSION - OLEAN WS RHEUMATOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330096U
Medicare Provider Number
330096
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/2/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/2/2025
Last Recertification Date
Contacts
Authorizing Official
Jones Memorial Hospital
Boyd Chappell, Vice President of Finance / Chief Financial Officer
(585) 596-4002
Primary Contact
UR Medicine
Katy Lees, Director, 340B Policy and Business Strategy
(585) 703-5169 Ext: 5855964002
Addresses
Street Address
1504 W STATE ST
OLEAN, NY 14760-2040
Billing Address
Jones Memorial Hospital
191 North Main Street
Wellsville, NY 14895
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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