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DSH330285Q STRONG MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
STRONG MEMORIAL HOSPITAL
Subdivision Name
Audiology Clinton Wood
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330285Q
Medicare Provider Number
330285
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
2/29/2012
Participating Start Date
3/23/2012
Participating Approval Date
3/23/2012
Last Recertification Date
8/17/2015
Termination Date
Termination Reason
10/1/2016
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
2365 South Clinton Avenue
Rochester, NY 14618
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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