340B Drug Pricing Program Database
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DSH330394AL UNITED HEALTH SERVICES HOSPITALS, INC. (Terminated)
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Main Details
Name
UNITED HEALTH SERVICES HOSPITALS, INC.
Subdivision Name
UHS Primary Care Endwell - Pulmonology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330394AL
Medicare Provider Number
330394
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/7/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/26/2012
Last Recertification Date
8/30/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
United Health Services Hospitals, Inc.
Robert Arthur Schmidt, Vice President, Clinical Services
(607) 762-3359
Primary Contact
United Health Services Hospitals, Inc
William G Waldron, Director of Pharmacy
(607) 763-1835
Addresses
Street Address
800 Hooper Road
Endwell, NY 13760
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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