340B Drug Pricing Program Database
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DSH330073U UNITED MEMORIAL MEDICAL CENTER (Active)
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Main Details
Name
UNITED MEMORIAL MEDICAL CENTER
Subdivision Name
UNITED MEMORIAL MEDICAL CENTER - Genesee Orthopedics - Medina Satellite
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330073U
Medicare Provider Number
330073
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/16/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/30/2017
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Rochester Regional Health
Shawn Bishop, Vice President, RRH Revenue & Reimbursement
(585) 922-0056
Primary Contact
RRH
Robert Michael Scardino, 340B Pharmacy System Manager
(585) 319-6750
Addresses
Street Address
11225 MAPLE RIDGE RD
MEDINA, NY 14103-1845
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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