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DSH330115E ONEIDA HEALTHCARE CENTER (Active)
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Main Details
Name
ONEIDA HEALTHCARE CENTER
Subdivision Name
Chittenango Internal Medicine / Internal Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330115E
Medicare Provider Number
330115
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2014
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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