340B Drug Pricing Program Database
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DSH330276AK NATHAN LITTAUER HOSPITAL (Active)
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Main Details
Name
NATHAN LITTAUER HOSPITAL
Subdivision Name
Amsterdam Primary/Urgent Care Center - Primary Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330276AK
Medicare Provider Number
330276
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/2/2022
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Nathan Littauer Hospital
Michael Ostrander, Vice President-Finance & CFO
(518) 773-5480
Primary Contact
Nathan Littauer Hospital
Brenda Hammons, Pharmacy 340B Coordinator
(518) 773-5582
Addresses
Street Address
375 Golf Course Road
Amsterdam, NY 12010
Billing Address
Nathan Littauer Hospital
99 E State St
Gloversville, NY 12078
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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