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DSH330226CE UNITY HOSPITAL OF ROCHESTER (Terminated)
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Main Details
Name
UNITY HOSPITAL OF ROCHESTER
Subdivision Name
SALVATION ARMY-HOPE HOUSE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330226CE
Medicare Provider Number
330226
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/28/2017
Last Recertification Date
9/1/2019
Termination Date
Termination Reason
7/1/2020
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Rochester Regional Health
Hugh Thomas, Executive Vice President, Chief Administrative Officer
(585) 922-4941
Primary Contact
Unity Hospital
Robert Adams, Assistant Director of Pharmacy
(585) 723-7837
Addresses
Street Address
100 WEST AVE
Rochester, NY 14611
Billing Address
Unity Hospital
P.O.BOX 10460
Rochester, NY 14610
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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