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HM6925 MARY M. GOOLEY HEMOPHILIA CENTER INC. (Active)
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Main Details
Name
MARY M. GOOLEY HEMOPHILIA CENTER INC.
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM6925
Grant Number
H30MC24048
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
11/20/2003
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
HM6925
Thomas Wilmarth, President & CEO
(585) 922-5700
Primary Contact
HM6925
Tara Veith, Vice President of Clinical Services
(585) 922-5700
Addresses
Street Address
1415 PORTLAND AVE.
SUITE 500
ROCHESTER, NY 14621
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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1/28/09 UPDATED ADDRESS(WAS SUITE #425); 1/28/09 ADDED MEDICAID #
12/01/1992
May 2025
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