340B Drug Pricing Program Database
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DSH330044BD MVHS, Inc. DBA: Wynn Hospital (Active)
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Main Details
Name
MVHS, Inc. DBA: Wynn Hospital
Subdivision Name
Oneida Medical Office - Primary Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330044BD
Medicare Provider Number
330044
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/29/2019
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
MVHS Inc, DBA Wynn Hospital
Louis Aiello, Sr. VP Finance/ CFO
(315) 917-8213
Primary Contact
MVHS, Inc. DBA: Wynn Hospital
James Humphrey, AVP Finance/ Controller
(315) 801-4326
Addresses
Street Address
131 Main Street
Suite 103
Oneida, NY 13421
Billing Address
MVHS, INC.
1676 Sunset Ave.
Utica, NY 13502
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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