340B Drug Pricing Program Database
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DSH330276AG NATHAN LITTAUER HOSPITAL (Active)
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Main Details
Name
NATHAN LITTAUER HOSPITAL
Subdivision Name
Gloversville Primary Care Center - Family Practice
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330276AG
Medicare Provider Number
330276
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/2/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/10/2019
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Nathan Littauer Hospital
Michael Ostrander, Vice President-Finance & CFO
(518) 773-5480
Primary Contact
Nathan Littauer Hospital
Brenda Hammons, Pharmacy 340B Coordinator
(518) 773-5582
Addresses
Street Address
99 East State Street
Building B
Gloversville, NY 12078
Billing Address
Nathan Littauer Hospital
99 East State Street
Gloversville, NY 12078
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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