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DSH330394CB UNITED HEALTH SERVICES HOSPITALS, INC. (Active)
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Main Details
Name
UNITED HEALTH SERVICES HOSPITALS, INC.
Subdivision Name
UHS WMC-OB EMERGENCY DEPARTMENT
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330394CB
Medicare Provider Number
330394
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/7/2017
Participating Start Date
10/1/2017
Participating Approval Date
8/3/2017
Last Recertification Date
9/4/2024
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 St
Johnson City, NY 13790
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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