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DSH330226CQ UNITY HOSPITAL OF ROCHESTER (Active)
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Main Details
Name
UNITY HOSPITAL OF ROCHESTER
Subdivision Name
Unity Medical Group(UMG) Fertility - Fertility
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330226CQ
Medicare Provider Number
330226
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2020
Participating Start Date
3/15/2022
Participating Approval Date
11/5/2020
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Rochester Regional Health
Shawn Bishop, Vice President, RRH Revenue & Reimbursement
(585) 922-0056
Primary Contact
RRH
Robert Michael Scardino, 340B Pharmacy System Manager
(585) 319-6750
Addresses
Street Address
1561 Long Pond Road
410
Rochester, NY 14626-4135
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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