340B Drug Pricing Program Database
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DSH330125CP ROCHESTER GENERAL HOSPITAL (Active)
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Main Details
Name
ROCHESTER GENERAL HOSPITAL
Subdivision Name
RGH GV DERM LASER SPA - Dermatology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330125CP
Medicare Provider Number
330125
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/7/2023
Last Recertification Date
9/3/2024
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
2250 Brighton Henrietta Town Line Rd
ROCHESTER, NY 14623
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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