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SCH330096-00 JONES MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
JONES MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH330096-00
Medicare Provider Number
330096
Additional Details
Current Program Status
Terminated
Registration Date
6/28/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/15/2011
Last Recertification Date
9/6/2016
Termination Date
Termination Reason
10/1/2017
Change of covered entity type
Contacts
Authorizing Official
Jones Memorial Hospital
James Helms, Vice President of Finance
(585) 596-4002
Primary Contact
UR Medicine
Katy Lees, Director, 340B Policy and Business Strategy
(585) 703-5169 Ext: 5855964002
Addresses
Street Address
191 NORTH MAIN STREET
WELLSVILLE, NY 14895
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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