340B Drug Pricing Program Database
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DSH330090AH ARNOT OGDEN MEDICAL CENTER (Active)
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Main Details
Name
ARNOT OGDEN MEDICAL CENTER
Subdivision Name
Bariatric/General Surgery AOMC - Surgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330090AH
Medicare Provider Number
330090
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/5/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/7/2022
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Arnot Ogden Medical Center
Ronette Wiley, Senior Vice President and Chief Operating Officer
(607) 737-4486
Primary Contact
Arnot Ogden Medical Center
Rebecca Sue Carr-Reynolds, Interim Systems Director of Pharmacy
(607) 737-4283
Addresses
Street Address
1138 Broadway St
Elmira, NY 14904
Billing Address
Arnot Ogden Medical Center
600 Roe Ave
Elmira, NY 14905
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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