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DSH330115C ONEIDA HEALTHCARE CENTER (Active)
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Main Details
Name
ONEIDA HEALTHCARE CENTER
Subdivision Name
Chittenango Health Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330115C
Medicare Provider Number
330115
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/8/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/4/2014
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Oneida Health
Jeremiah Sweet, CFO
(315) 361-2300
Primary Contact
Oneida Healthcare
Lori Dorsey, Controller
(315) 361-2145
Addresses
Street Address
153 W. Genesee St.
Chittenango, NY 13037
Billing Address
Oneida Healthcare
321 Genesee Street
Oneida, NY 13421
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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