340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330153AV Ellis Hospital (Terminated)
Print
Main Details
Name
Ellis Hospital
Subdivision Name
Ellis - McClellan Division - Endocrinology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330153AV
Medicare Provider Number
330153
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/2/2016
Last Recertification Date
8/19/2021
Termination Date
Termination Reason
7/1/2022
Site closure
Contacts
Authorizing Official
Ellis
Marc Mesick, CFO & VP of Finance
(518) 243-4144
Primary Contact
Ellis Hospital
Monica Quinde, Pharmacy 340B Program Manager
(518) 243-1824
Addresses
Street Address
624 McClellan Street
Schenectady, NY 12304
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session