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DSH330078S Sisters of Charity Hospital (Terminated)
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Main Details
Name
Sisters of Charity Hospital
Subdivision Name
St. Joseph Campus - Occupational Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330078S
Medicare Provider Number
330078
Outpatient Facility Provider Number
330078
Additional Details
Current Program Status
Terminated
Registration Date
11/25/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/13/2013
Last Recertification Date
6/5/2015
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
2605 Harlem Road
Cheektowaga, NY 14225
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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