340B Drug Pricing Program Database
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DSH330005BD KALEIDA HEALTH (Terminated)
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Main Details
Name
KALEIDA HEALTH
Subdivision Name
KALEIDA HEALTH / DMH INFUSION CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330005BD
Medicare Provider Number
330005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/6/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
9/20/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Kaleida Health
Robert Joseph Nesselbush, EVP, CFO
(716) 859-1215
Primary Contact
Kaleida Health
Wendy Ann DellaNeve, Manager 340B Program
(716) 859-8012
Addresses
Street Address
445 TREMONT ST
NORTH TONAWANDA, NY 14120-6150
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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