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DSH330078C SISTERS OF CHARITY HOSPITAL (Active)
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Main Details
Name
SISTERS OF CHARITY HOSPITAL
Subdivision Name
SAINT VINCENT HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330078C
Medicare Provider Number
330078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/3/2005
Participating Start Date
1/1/2014
Participating Approval Date
11/4/2005
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Catholic Health System
Michael Osborne, Vice President, Finance
(716) 828-2011
Primary Contact
Catholic Health System
Selena Holody, Analyst, 340B Program
(716) 270-6981
Addresses
Street Address
1500 Broadway Street
BUFFALO, NY 14212
Billing Address
Sisters of Charity Hospital C/O Catholic Health
144 Genesee Street
4th Floor
Buffalo, NY 14203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/13/13 enrolled 11/4/05 thru 6/30/11, not enrolled 7/1/11 thru 12/31/13 due to DSH % below minimum, re-instated based on on-line registration submitted in Oct. 2013; 9/1/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
12/13/2013
9/1/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
06/30/2011
April 2025
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