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CAH331310-00 ELLENVILLE REGIONAL HOSPITAL (Terminated)
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Main Details
Name
ELLENVILLE REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH331310-00
Medicare Provider Number
331310
Additional Details
Current Program Status
Terminated
Registration Date
5/20/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/9/2011
Last Recertification Date
11/29/2017
Termination Date
Termination Reason
10/1/2018
Failure to recertify
Contacts
Authorizing Official
Ellenville Regional Hospital
Bob Rue, CFO
(845) 210-3033
Primary Contact
Ellenville Regional Hospital
Roseann Daw, Controller
(845) 647-6400 Ext: 278
Addresses
Street Address
10 HEALTHY WAY
ELLENVILLE, NY 12428-5612
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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