340B Drug Pricing Program Database
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DSH330125CN ROCHESTER GENERAL HOSPITAL (Terminated)
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Main Details
Name
ROCHESTER GENERAL HOSPITAL
Subdivision Name
RGH CARDIOTHORACIC SURGERY AT NEWARK - CARDIOTHORACIC SURGERY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330125CN
Medicare Provider Number
330125
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/19/2022
Last Recertification Date
8/24/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
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
1200 DRIVING PARK AVENUE
Newark, NY 14513
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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