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DSH330188H Mount St. Mary's Hospital and Health Center (Terminated)
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Main Details
Name
Mount St. Mary's Hospital and Health Center
Subdivision Name
Primary Care - Colomba
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330188H
Medicare Provider Number
330188
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
8/29/2023
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Catholic Health System
Michael Osborne, Vice President, Finance
(716) 828-2011
Primary Contact
Catholic Health System
Tristan Diane Greer, 340B Program Business Manager
(716) 923-2920
Addresses
Street Address
1 Colomba Drive
Suite 2
Niagara Falls, NY 14305-1275
Billing Address
Mount St. Mary's Hospital and Health Center c/o Catholic Health
144 Genesee Street
4th Floor
Buffalo, NY 14203-1997
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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