340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330065F NIAGARA FALLS MEMORIAL MEDICAL CENTER (Terminated)
Print
Main Details
Name
NIAGARA FALLS MEMORIAL MEDICAL CENTER
Subdivision Name
North Tonawanda Primary Care Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330065F
Medicare Provider Number
330065
Outpatient Facility Provider Number
330065
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/3/2013
Last Recertification Date
9/1/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Niagara Falls Memorial Medical Center
Mark Wright, Senior Vice President/Finance
(716) 278-4399
Primary Contact
Niagara Falls Memorial Medical Center
Marybeth Balbo, 340B Program Coordinator
(716) 278-4537
Addresses
Street Address
1089 Kinkead Ave, Suite 111
North Tonawanda, NY 14120
Billing Address
Niagara Falls Memorial Medical Center
621 10 th Street
Niagara Falls, NY 14302
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
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