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SCH330218-04 Oswego Hospital (Active)
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Main Details
Name
Oswego Hospital
Subdivision Name
Child and Adolescent Psychiatry Services
Type
Sole Community Hospital
Rural
No
340B ID
SCH330218-04
Medicare Provider Number
330218
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
12/7/2011
Participating Start Date
12/21/2011
Participating Approval Date
12/21/2011
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Oswego Hospital
Eric T. Campbell, CFO
(315) 349-5531
Primary Contact
Oswego Hospital
Susan Aksterowicz, Executive Assistant
(315) 349-5818
Addresses
Street Address
98 North Second Street
Fulton, NY 13069
Billing Address
Oswego Hospital
110 West Sixth Street
Oswego, NY 13126
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/21/11 IMMEDIATE START DATE DUE TO PUBLIC HEALTH EMERGENCY IN NYS
12/21/2011
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April 2025
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