340B Drug Pricing Program Database
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DSH330013S ALBANY MEDICAL CENTER HOSPITAL (Active)
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Main Details
Name
ALBANY MEDICAL CENTER HOSPITAL
Subdivision Name
AMCH Cardiothoracic Clinic - Cardiothoracic Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330013S
Medicare Provider Number
330013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/19/2019
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Albany Medical Center Hospital
Frances Spreer Albert, Executive Vice President, COO and CFO
(518) 262-3579
Primary Contact
Albany Med Health System
Alan W Slowick, System Associate Director of Pharmacy - 340B
(518) 926-2527
Addresses
Street Address
50 New Scotland Ave
Albany, NY 12208
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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