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DSH330219 ERIE COUNTY MEDICAL CENTER (Active)
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Main Details
Name
ERIE COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330219
Medicare Provider Number
330219
Additional Details
Current Program Status
Active
Registration Date
1/3/2008
Participating Start Date
4/1/1996
Participating Approval Date
1/3/2008
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Erie County Medical Center
Jonathan Thomas Swiatkowski, Chief Financial Officer
(716) 898-6291
Primary Contact
Erie County Medical Center
Mechelle Annette DiMaria, Pharmacy Business Coordinator
(716) 898-5520
Addresses
Street Address
462 Grider Street
BUFFALO, NY 14215
Billing Address
Erie County Medical Center Corp
462 Grider Street
Buffalo, NY 14215
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/17/09 UPDATED AUTHORIZING AND CONTACT INFORMATION
01/03/2008
April 2025
April 2025
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