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DSH330065J NIAGARA FALLS MEMORIAL MEDICAL CENTER (Active)
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Main Details
Name
NIAGARA FALLS MEMORIAL MEDICAL CENTER
Subdivision Name
Emergency Services - Emergency Department
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330065J
Medicare Provider Number
330065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/12/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/30/2017
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Niagara Falls Memorial Medical Center
Matthew DuBois, VP & CFO
(716) 278-4399
Primary Contact
Niagara Falls Memorial Medical Center
Julie Czyzewski, 340B Coordinator
(716) 278-4450
Addresses
Street Address
571 10th Street
Niagara Falls, NY 14301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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