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DSH330226CC UNITY HOSPITAL OF ROCHESTER (Terminated)
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Main Details
Name
UNITY HOSPITAL OF ROCHESTER
Subdivision Name
SALVATION ARMY BOOTH HAVEN
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330226CC
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
70 LIBERTY POLE WAY
Rochester, NY 14604
Billing Address
Unity Hospital
P.O.BOX 10460
Rochester, NY 14610
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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