340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KPH HEALTHCARE SERVICES, INC.
CAH331311-03 Little Falls Hospital
Print
Covered Entity Details
Entity Name
Little Falls Hospital
Subdivision Name
Richfield Springs Health Center - Rural Health Clinic
Type
Critical Access Hospital
340B ID
CAH331311-03
Entity Address
8550 State Highway 28
Richfield Springs, NY 13439-4830
Medicare Provider Number
331311
Outpatient Facility Provider Number
333995
Participating Start Date
9/11/2020
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #49
530 ALBANY ST
LITTLE FALLS, NY 13365
Pharmacy Comments
Contract Details
Approval Date
9/11/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/11/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
James Vielkind, CFO
(315) 823-5281
Contract Pharmacy Representative
Little Falls Hospital
Jamie Camardello, Pharmacist
(315) 823-5242
Signed By Date
9/11/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session