340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330073C UNITED MEMORIAL MEDICAL CENTER (Terminated)
Print
Main Details
Name
UNITED MEMORIAL MEDICAL CENTER
Subdivision Name
LEROY DIAGNOSTIC & URGENT CARE CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330073C
Medicare Provider Number
330073
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
12/16/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/18/2009
Last Recertification Date
12/6/2017
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
Rochester Regional Health
Hugh Thomas, Executive Vice President, Chief Administrative Officer
(585) 922-4941
Primary Contact
United Memorial Medical Center
Michael Koncilja, PHARMACY DIRECTOR
(716) 344-5495
Addresses
Street Address
8745 LAKE ROAD
LEROY, NY 14482
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session