340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCH330136-50 MARY IMOGENE BASSETT HOSPITAL (Terminated)
Print
Main Details
Name
MARY IMOGENE BASSETT HOSPITAL
Subdivision Name
SIDNEY
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH330136-50
Medicare Provider Number
330136
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/26/2017
Last Recertification Date
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
Bassett Medical Center
William LeCates, MD, President CEO BMC
(607) 547-7600
Primary Contact
Mary Imogene Bassett Hospital
Michael J. Tengeres, Corporate Vice President - CFO
(607) 547-3635
Addresses
Street Address
SIDNEY
39 PEARL STREET WEST
SIDNEY, NY 13838
Billing Address
MARY IMOGENE BASSETT HOSPITAL
ONE ATWELL ROAD
COOPERSTOWN, NY 13326
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