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DSH330078AA Sisters of Charity Hospital (Terminated)
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Main Details
Name
Sisters of Charity Hospital
Subdivision Name
Sisters Central Park Diagnostic Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330078AA
Medicare Provider Number
330078
Outpatient Facility Provider Number
330078
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/13/2013
Last Recertification Date
8/29/2014
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Catholic Health System
Michael Osborne, Vice President, Finance
(716) 828-2011
Primary Contact
Catholic Health System
Dorothy Shuldman, 340B Program Business Manager
(716) 923-2920
Addresses
Street Address
34 Benwood Avenue
Buffalo, NY 14214
Billing Address
Sisters of Charity Hospital
2157 Main Street
Buffalo, NY 14214
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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