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DSH330226AW UNITY HOSPITAL OF ROCHESTER (ToBeTerminated)
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Main Details
Name
UNITY HOSPITAL OF ROCHESTER
Subdivision Name
Brockport / Unity Pulmonary Medicine Brockport
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330226AW
Medicare Provider Number
330226
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
4/15/2016
Participating Start Date
3/15/2022
Participating Approval Date
5/18/2016
Last Recertification Date
8/28/2024
Termination Date
Termination Reason
7/1/2025
Site closure
Contacts
Authorizing Official
Rochester Regional Health
Shawn Bishop, Vice President, RRH Revenue & Reimbursement
(585) 922-0056
Primary Contact
RRH
Robert Michael Scardino, 340B Pharmacy System Manager
(585) 319-6750
Addresses
Street Address
6668 Fourth Section Road
Brockport, NY 14420
Billing Address
Unity Hospital
P.O.BOX 10460
Rochester, NY 14611
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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