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SCH330235-00 AUBURN COMMUNITY HOSPITAL (Active)
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Main Details
Name
AUBURN COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH330235-00
Medicare Provider Number
330235
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/17/2016
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Auburn Community Hospital
Eric Burch, Senior Vice President of Administration
(315) 567-0560
Primary Contact
Auburn Community Hospital
Koth Cassavaugh, Director of Pharmacy
(315) 255-7307
Addresses
Street Address
17 LANSING STREET
AUBURN, NY 13021
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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