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SCH330151-00 ST. JAMES MERCY HOSPITAL (Terminated)
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Main Details
Name
ST. JAMES MERCY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH330151-00
Medicare Provider Number
330151
Additional Details
Current Program Status
Terminated
Registration Date
9/30/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/7/2010
Last Recertification Date
8/24/2018
Termination Date
Termination Reason
1/1/2019
DSH percentage below statutory minimum
Contacts
Authorizing Official
St. James Hospital
Bryan James ODonovan, CEO
(607) 324-8111
Primary Contact
St. James Mercy Hospital
DENISE BECHER, MANAGER DECISION SUPPORT
(607) 324-8036
Addresses
Street Address
411 CANISTEO STREET
HORNELL, NY 14843
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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