340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330238C NICHOLAS H. NOYES MEMORIAL HOSPITAL (Terminated)
Print
Main Details
Name
NICHOLAS H. NOYES MEMORIAL HOSPITAL
Subdivision Name
Noyes Outpatient Kidney Disease and Dialysis Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330238C
Medicare Provider Number
330238
Outpatient Facility Provider Number
333553
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/25/2017
Last Recertification Date
8/14/2024
Termination Date
Termination Reason
1/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Nicholas H. Noyes Memorial Hospital
Mark F Prunoske, SVP/CFO
(585) 335-4306
Primary Contact
UR Medicine
Katy Lees, Director, 340B Policy and Business Strategy
(585) 703-5169 Ext: 5855964002
Addresses
Street Address
4616 Millenium Drive
Geneseo, NY 14454
Billing Address
Nicholas Noyes Memorial Hospital
111 Clara Barton Street
Dansville, NY 14437
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
7/13/17; Participating 10/1/2015 until terminated effective 7/1/2016. Reinstated effective 10/1/2017
07/25/2017
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session