340B Drug Pricing Program Database
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DSH330013D ALBANY MEDICAL CENTER HOSPITAL (Active)
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Main Details
Name
ALBANY MEDICAL CENTER HOSPITAL
Subdivision Name
SCC OUTPATIENT OBSERVATION AND RELATED SERVICES
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330013D
Medicare Provider Number
330013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/28/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/17/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Albany Medical Center Hospital
Frances Spreer Albert, Executive Vice President, COO and CFO
(518) 262-3579
Primary Contact
Albany Med Health System
Alan W Slowick, System Associate Director of Pharmacy - 340B
(518) 926-2527
Addresses
Street Address
25 HACKETT BLVD
ALBANY, NY 12208
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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