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DSH330219G ERIE COUNTY MEDICAL CENTER (Terminated)
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Main Details
Name
ERIE COUNTY MEDICAL CENTER
Subdivision Name
Dental-BGH - Dental-BGH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330219G
Medicare Provider Number
330219
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/6/2019
Last Recertification Date
8/31/2023
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Erie County Medical Center
Jonathan Thomas Swiatkowski, Chief Financial Officer
(716) 898-6291
Primary Contact
Erie County Medical Center
Daryl Ervolina, Pharmacist
(716) 898-3282
Addresses
Street Address
100 High Street
Buffalo, NY 14203
Billing Address
Erie County Medical Center
462 Grider Street
Buffalo, NY 14215
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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