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SCH330008-00 WYOMING COUNTY COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
WYOMING COUNTY COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH330008-00
Medicare Provider Number
330008
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/1/2023
Last Recertification Date
Termination Date
Termination Reason
10/1/2024
Other
Contacts
Authorizing Official
Wyoming County Community Health System
Mark Wright, Chief Financial Officer
(585) 786-8940
Primary Contact
Wyoming County Community Health System
Kaitlyn Reinhardt, Director of Pharmacy
(585) 786-8940 Ext: 4505
Addresses
Street Address
400 NORTH MAIN STREET
WARSAW, NY 14569
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 10/1/2020, Termination Date 10/1/2022, Reinstatement 1/1/2024
11/01/2023
April 2025
April 2025
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