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DSH330226BQ UNITY HOSPITAL OF ROCHESTER (ToBeTerminated)
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Main Details
Name
UNITY HOSPITAL OF ROCHESTER
Subdivision Name
Unity Infectious Disease Brockport
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330226BQ
Medicare Provider Number
330226
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
7/15/2016
Participating Start Date
3/15/2022
Participating Approval Date
8/30/2016
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 14610
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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