340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330250 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL (Active)
Print
Main Details
Name
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330250
Medicare Provider Number
330250
Additional Details
Current Program Status
Active
Registration Date
4/14/2019
Participating Start Date
6/3/2019
Participating Approval Date
5/31/2019
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Alice Hyde Medical Center/Champlain Valley Physicians Hospital
Matej Kollar, Vice President/Chief Financial Officer
(518) 481-8065
Primary Contact
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
MELISSA ANNE BRESNAHAN, PHARMACY AND 340B PROGRAM MANAGER
(518) 562-7911
Addresses
Street Address
75 BEEKMAN STREET
PLATTSBURGH, NY 12901
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Start date is now 6/3/2019.
06/03/2019
Participated starting 10/1/2014, terminated 4/1/2019. Reinstated 7/1/2019.
05/24/2019
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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