340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330241AG UNIVERSITY HOSPITAL (Active)
Print
Main Details
Name
UNIVERSITY HOSPITAL
Subdivision Name
Pediatric Surgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330241AG
Medicare Provider Number
330241
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2012
Participating Start Date
10/27/2012
Participating Approval Date
11/7/2012
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
SUNY Upstate Medical University Hospital
Stuart M. Wright, Chief Financial Officer
(315) 464-5179
Primary Contact
SUNY Upstate Medical University Hospital
Amanda Marzella, 340B Contract Pharmacy Manager
(315) 464-6039
Addresses
Street Address
Physicians Office Building
725 Irving Avenue
Suite 401
Syracuse, NY 13210
Billing Address
Upstate University Hospital
750 East Adams Street
Syracuse, NY 13210
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
11/7/2012 – Participation start date set to 10/27/2012 due to post-Sandy public health emergency determination for the State of New York
11/20/2012
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session