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RRC330023-00 VASSAR BROTHERS MEDICAL CENTER (Terminated)
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Main Details
Name
VASSAR BROTHERS MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC330023-00
Medicare Provider Number
330023
Additional Details
Current Program Status
Terminated
Registration Date
2/23/2022
Participating Start Date
3/1/2022
Participating Approval Date
3/1/2022
Last Recertification Date
8/16/2024
Termination Date
Termination Reason
4/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Nuvance Health
Karen Steele, VP Pharmacy Services
(845) 472-9571
Primary Contact
Nuvance Health
Roseann Roux, Director, Governmental Reimbursement, West
(860) 335-3460
Addresses
Street Address
45 READE PLACE
POUGHKEEPSIE, NY 12601
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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