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DSH330033Q CHENANGO MEMORIAL HOSPITAL (Active)
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Main Details
Name
CHENANGO MEMORIAL HOSPITAL
Subdivision Name
UHS PRIM CARE SIDNEY-FAMILY PRACTICE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330033Q
Medicare Provider Number
330033
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/20/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/19/2016
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Chenango Memorial Hospital, Inc.
Desiree A Axley, Vice President Finance & CFO
(607) 373-6912
Primary Contact
United Health Services Hospitals, Inc
Ryan C. Decaro, Pharmacy Business Manager
(607) 763-1838
Addresses
Street Address
44 Pearl Street
Sidney, NY 13838
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/14/11 APPROVED DURING PHE IN NY STATE
12/14/2011
May 2025
May 2025
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