340B Drug Pricing Program Database
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DSH330226BN UNITY HOSPITAL OF ROCHESTER (Terminated)
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Main Details
Name
UNITY HOSPITAL OF ROCHESTER
Subdivision Name
Brockport / Unity Neurosciences
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330226BN
Medicare Provider Number
330226
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/19/2016
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
6668 Fourth Section Road
Brockport, NY 14420
Billing Address
Unity Hospital
P.O.BOX 10460
Rochester, NY 14610
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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