340B Drug Pricing Program Database
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DSH330073B UNITED MEMORIAL MEDICAL CENTER (Active)
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Main Details
Name
UNITED MEMORIAL MEDICAL CENTER
Subdivision Name
UMMC DIAB ENDO LEROY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330073B
Medicare Provider Number
330073
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/9/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/24/2022
Last Recertification Date
8/23/2024
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
3 Tountas Ave
Leroy, NY 14482
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2010, terminated 10/1/2021. Reinstated 10/1/2022.
08/24/2022
May 2025
May 2025
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