340B Drug Pricing Program Database
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DSH330096F JONES MEMORIAL HOSPITAL (Active)
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Main Details
Name
JONES MEMORIAL HOSPITAL
Subdivision Name
Medical Practice - Belmont Office
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330096F
Medicare Provider Number
330096
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2017
Participating Start Date
10/1/2017
Participating Approval Date
8/3/2017
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Jones Memorial Hospital
Boyd Chappell, Vice President of Finance / Chief Financial Officer
(585) 596-4002
Primary Contact
UR Medicine
Katy Lees, Director, 340B Policy and Business Strategy
(585) 703-5169 Ext: 5855964002
Addresses
Street Address
5877 ROUTE 19
BELMONT, NY 14813-9650
Billing Address
Jones Memorial Hospital
191 North Main Street
Wellsville, NY 14895
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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