340B Drug Pricing Program Database
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DSH330226G UNITY HOSPITAL OF ROCHESTER (Terminated)
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Main Details
Name
UNITY HOSPITAL OF ROCHESTER
Subdivision Name
PRH Respiratory
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330226G
Medicare Provider Number
330226
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/17/2016
Last Recertification Date
9/1/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Rochester Regional Health
Hugh Thomas, Executive Vice President, Chief Administrative Officer
(585) 922-4941
Primary Contact
Unity Hospital
Robert Adams, Assistant Director of Pharmacy
(585) 723-7837
Addresses
Street Address
1561 LONG POND RD
Suite 408
Rochester, NY 14626
Billing Address
Unity Hospital
P.O.BOX 10460
Rochester, NY 14610
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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