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RRC330164-17 HIGHLAND HOSPITAL OF ROCHESTER (Active)
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Main Details
Name
HIGHLAND HOSPITAL OF ROCHESTER
Subdivision Name
SANDS CANCER CENTER
Type
Rural Referral Center
Rural
Yes
340B ID
RRC330164-17
Medicare Provider Number
330164
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/12/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/20/2018
Last Recertification Date
8/18/2024
Contacts
Authorizing Official
Strong Memorial Hospital & Highland Hospital
Carrie Fuller Spencer, Chief Financial Officer
(585) 275-3033
Primary Contact
UR Medicine
Katy Lees, Director, 340B Policy and Business Strategy
(585) 703-5169 Ext: 5855964002
Addresses
Street Address
395 West Street
CANANDAIGUA, NY 14424-1731
Billing Address
Highland Hospital
1000 South Avenue
Rochester, NY 14620
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial start 4/1/2017, Termination 1/1/2018, Reinstate 1/1/2019
11/08/2018
Initial start 4/1/2017, Termination 1/1/2018, Reinstate 1/1/2019
10/23/2018
June 2025
June 2025
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