340B Drug Pricing Program Database
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DSH330078AH SISTERS OF CHARITY HOSPITAL (Active)
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Main Details
Name
SISTERS OF CHARITY HOSPITAL
Subdivision Name
Piver Center - Outpatient Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330078AH
Medicare Provider Number
330078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/25/2018
Last Recertification Date
8/31/2024
Contacts
Authorizing Official
Catholic Health System
Michael Osborne, Vice President, Finance
(716) 828-2011
Primary Contact
Catholic Health System
Selena Holody, Analyst, 340B Program
(716) 270-6981
Addresses
Street Address
2121 Main Street
1st Floor
Buffalo, NY 14214
Billing Address
Sisters of Charity Hospital C/O Catholic Health
144 Genesee Street
4th Floor
Buffalo, NY 14203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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