340B Drug Pricing Program Database
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DSH330078CB SISTERS OF CHARITY HOSPITAL (Terminated)
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Main Details
Name
SISTERS OF CHARITY HOSPITAL
Subdivision Name
Sisters Health Center Caritas - INFUSION SERVICES - Infusion Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330078CB
Medicare Provider Number
330078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/2/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/10/2024
Last Recertification Date
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Catholic Health System
Michael Osborne, Vice President, Finance
(716) 828-2011
Primary Contact
Catholic Health System
Tristan Diane Greer, 340B Program Business Manager
(716) 923-2920
Addresses
Street Address
2625 Harlem Road
Suite 160
Cheektowaga, NY 14227
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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