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DSH330078X SISTERS OF CHARITY HOSPITAL (Active)
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Main Details
Name
SISTERS OF CHARITY HOSPITAL
Subdivision Name
St. Joseph Campus - Anesthesia
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330078X
Medicare Provider Number
330078
Outpatient Facility Provider Number
330078
Additional Details
Current Program Status
Active
Registration Date
2/5/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/9/2024
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Catholic Health System
Michael Osborne, Vice President, Finance
(716) 828-2011
Primary Contact
Catholic Health System
Selena Holody, Analyst, 340B Program
(716) 270-6981
Addresses
Street Address
2605 Harlem Road
Cheektowaga, NY 14225
Billing Address
Sisters of Charity Hospital C/O Catholic Health
144 Genesee Street
4th Floor
Buffalo, NY 14203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (01/1/2024) until terminated effective date: (10/1/2015), reinstatement effective date: (04/1/2024)
02/06/2024
May 2025
May 2025
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