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DSH330197AK CANTON-POTSDAM HOSPITAL (Terminated)
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Main Details
Name
CANTON-POTSDAM HOSPITAL
Subdivision Name
CPH CANTON PAIN PRACTICE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330197AK
Medicare Provider Number
330197
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/16/2016
Last Recertification Date
8/23/2018
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Canton-Potsdam Hospital
Donna M McGregor, System CFO
(315) 261-5451
Primary Contact
Canton-Potsdam Hospital
DAVID SOGOIAN, DIRECTOR OF PHARMACY
(315) 261-5510
Addresses
Street Address
80 EAST MAIN STREET
CANTON, NY 13617
Billing Address
CANTON-POTSDAM HOSPITAL
50 LEROY STREET
POTSDAN, NY 13676
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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