340B Drug Pricing Program Database
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DSH330188B Mount St. Mary's Hospital and Health Center (Active)
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Main Details
Name
Mount St. Mary's Hospital and Health Center
Subdivision Name
NEIGHBORHOOD HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330188B
Medicare Provider Number
330188
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
12/9/2010
Participating Start Date
1/1/2014
Participating Approval Date
12/14/2010
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Catholic Health System
Michael Osborne, Vice President, Finance
(716) 828-2011
Primary Contact
Catholic Health System
Selena Holody, Analyst, 340B Program
(716) 270-6981
Addresses
Street Address
3101 NINTH STREET
NIAGARA FALLS, NY 14305
Billing Address
Mount St. Mary's Hospital and Health Center c/o Catholic Health
144 Genesee Street
4th Floor
Buffalo, NY 14203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/9/2010- DOC RECD TO CONFIRM ELIG DSH ADJ%
12/14/2010
April 2025
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