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RRC330164-06 HIGHLAND HOSPITAL OF ROCHESTER (Terminated)
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Main Details
Name
HIGHLAND HOSPITAL OF ROCHESTER
Subdivision Name
GENESEE VALLEY FAMILY MEDICINE
Type
Rural Referral Center
Rural
Yes
340B ID
RRC330164-06
Medicare Provider Number
330164
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/17/2011
Participating Start Date
4/1/2017
Participating Approval Date
6/17/2011
Last Recertification Date
8/18/2024
Termination Date
Termination Reason
1/1/2025
Site closure
Contacts
Authorizing Official
Strong Memorial Hospital & Highland Hospital
Carrie Fuller Spencer, Chief Financial Officer
(585) 275-3033
Primary Contact
UR Medicine
Katy Lees, Director, 340B Policy and Business Strategy
(585) 703-5169 Ext: 5855964002
Addresses
Street Address
118 MAIN ST
MOUNT MORRIS, NY 14510-1218
Billing Address
Highland Hospital
1000 South Avenue
Rochester, NY 14620
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/15/17 participating 7/1/11 until terminated effective 1/1/13, reinstated effective 4/1/17
03/15/2017
May 2025
May 2025
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