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CAH331314-00 SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY (Active)
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Main Details
Name
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH331314-00
Medicare Provider Number
331314
Additional Details
Current Program Status
Active
Registration Date
10/7/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/7/2019
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Soldiers and Sailors Memorial Hospital of Yates County
Lara Turbide, Chief Operating Officer
(315) 787-4026
Primary Contact
Soldiers & Sailors Memorial Hospital of Yates County, Inc.
Melissa Nault, Primary Care Quality Director
(315) 787-5448
Addresses
Street Address
418 NORTH MAIN STREET
PENN YAN, NY 14527
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 9/30/2010, terminated 10/1/2013. Reinstated 1/1/2020.
10/18/2019
10/21/2010- CORRECTED ADD (WAS 419 NORTH MAIN ST)
10/20/2010
April 2025
April 2025
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