340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330065D NIAGARA FALLS MEMORIAL MEDICAL CENTER (Terminated)
Print
Main Details
Name
NIAGARA FALLS MEMORIAL MEDICAL CENTER
Subdivision Name
GRAND ISLAND FAMILY PRACTICE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330065D
Medicare Provider Number
330065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/30/2010
Participating Start Date
10/1/2010
Participating Approval Date
8/5/2010
Last Recertification Date
8/16/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Niagara Falls Memorial Medical Center
Richard G Braun Jr, EVP Chief Financial Officer
(716) 908-9333
Primary Contact
Niagara Falls Memorial Medical Center
Thomas Latuga, Pharmacy Finance and 340B Coordinator
(716) 278-4450
Addresses
Street Address
2608 Grand Island Blvd
GRAND ISLAND, NY 14072
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
9/23/10 PHYS ADDR UPDATE (WAS 2130 GRAND ISLAND BLVD)
07/30/2010
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