340B Drug Pricing Program Database
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DSH330073H UNITED MEMORIAL MEDICAL CENTER (Terminated)
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Main Details
Name
UNITED MEMORIAL MEDICAL CENTER
Subdivision Name
TONAWANDA SENECA FAMILY CARE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330073H
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
9/8/2019
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Rochester Regional Health
Hugh Thomas, Executive Vice President, Chief Administrative Officer
(585) 922-4941
Primary Contact
United Memorial Medical Center
Marilyn Almeter, Vice President, Nursing
(585) 344-7274
Addresses
Street Address
372 BLOOMINGDALE ROAD
BASOM, NY 14013
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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