340B Drug Pricing Program Database
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RRC330126-02 Garnet Health Medical Center (Active)
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Main Details
Name
Garnet Health Medical Center
Subdivision Name
Pavillion Substance Abuse Counseling - Substance Abuse Counseling
Type
Rural Referral Center
Rural
No
340B ID
RRC330126-02
Medicare Provider Number
330126
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2021
Participating Start Date
1/29/2021
Participating Approval Date
1/29/2021
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Garnet Health
James Grigg, CFO
(845) 333-2306
Primary Contact
Garnet Health Medical Center
Maria Russo, Director of Pharmacy
(845) 333-2043
Addresses
Street Address
75 Crystal Run Road
Suite 135
Middletown, NY 10940
Billing Address
Garnet Health Medical Center - Substance Abuse Counseling
707 East Main St
Middletown, NY 10940
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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