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DSH330394BT UNITED HEALTH SERVICES HOSPITALS, INC. (Active)
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Main Details
Name
UNITED HEALTH SERVICES HOSPITALS, INC.
Subdivision Name
UHS WMC-DELIVERY ROOM
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330394BT
Medicare Provider Number
330394
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2017
Participating Start Date
7/1/2017
Participating Approval Date
6/8/2017
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
United Health Services Hospitals, Inc.
James Mark Smith, Vice President - Chief Financial Officer
(607) 762-3011
Primary Contact
United Health Services Hospitals, Inc
Ryan C. Decaro, Pharmacy Business Manager
(607) 763-1838
Addresses
Street Address
33-57 Harrison Street
Johnson City, NY 13790
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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