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DSH330090 ARNOT OGDEN MEDICAL CENTER (Active)
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Main Details
Name
ARNOT OGDEN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330090
Medicare Provider Number
330090
Additional Details
Current Program Status
Active
Registration Date
3/4/2011
Participating Start Date
10/27/2012
Participating Approval Date
11/29/2012
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Arnot Ogden Medical Center
Ronette Wiley, Senior Vice President and Chief Operating Officer
(607) 737-4486
Primary Contact
Arnot Ogden Medical Center
Rebecca Sue Carr-Reynolds, Interim Systems Director of Pharmacy
(607) 737-4283
Addresses
Street Address
600 Roe Ave
ELMIRA, NY 14905
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/20/12 participating 4/1/11 thru 6/30/12, not participating 7/1/12 thru 10/26/12, re-instatement based on new registration, early start date due to post-Sandy public health emergency determination for the State of New York; 6/28/12 Terminated at the request of the covered entity, effective 7/1/12
11/29/2012
11/20/12 participating 4/1/11 thru 6/30/12, not participating 7/1/12 thru 10/26/12, re-instatement based on new registration; 6/28/12 Terminated at the request of the covered entity, effective 7/1/12
11/29/2012
11/20/12 participating 4/1/11 thru 6/30/12, not participating 7/1/12 thru 10/26/12; 6/28/12 Terminated at the request of the covered entity, effective 7/1/12
11/29/2012
11/20/12 participating 4/1/11 thru 6/30/12, not participating 7/1/12 thru 11/20/12; 6/28/12 Terminated at the request of the covered entity, effective 7/1/12
11/20/2012
6/28/12 Terminated at the request of the covered entity, effective 7/1/12
06/28/2012
May 2025
May 2025
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