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DSH330285AS STRONG MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
STRONG MEMORIAL HOSPITAL
Subdivision Name
PULSIFER MEDICAL ASSOCIATES-Family Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330285AS
Medicare Provider Number
330285
Outpatient Facility Provider Number
330285
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
8/17/2015
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Strong Memorial Hospital & Highland Hospital
Carrie Fuller Spencer, Chief Financial Officer
(585) 275-3033
Primary Contact
Highland Hospital
Kevin Segerson, Director of Finance
(585) 341-6686
Addresses
Street Address
2400 S CLINTON AVENUE
BUILDING H
ROCHESTER, NY 14618-2668
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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