340B Drug Pricing Program Database
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DSH330226BM UNITY HOSPITAL OF ROCHESTER (Terminated)
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Main Details
Name
UNITY HOSPITAL OF ROCHESTER
Subdivision Name
Unity Dental at Penfield
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330226BM
Medicare Provider Number
330226
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2016
Participating Start Date
3/15/2022
Participating Approval Date
8/19/2016
Last Recertification Date
8/24/2023
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
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
2060 Fairport Nine Mile Pt Rd
Penfield, NY 14526
Billing Address
Unity Hospital
P.O.BOX 10460
Rochester, NY 14610
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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