340B Drug Pricing Program Database
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DSH330005D KALEIDA HEALTH (Active)
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Main Details
Name
KALEIDA HEALTH
Subdivision Name
MILLARD FILLMORE SUBURBAN HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330005D
Medicare Provider Number
330005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/2/2006
Participating Start Date
4/1/2006
Participating Approval Date
3/2/2006
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Kaleida Health
Chisholm P Hugh, EVP Chief Financial Officer
(716) 859-8836
Primary Contact
Kaleida Health
Wendy Ann DellaNeve, Manager 340B Program
(716) 859-8012
Addresses
Street Address
1540 MAPLE ROAD
WILLIAMSVILLE, NY 14221
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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