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MARY IMOGENE BASSETT HOSPITAL, THE
CAH331311-00 Little Falls Hospital
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Covered Entity Details
Entity Name
Little Falls Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331311-00
Entity Address
140 Burwell Street
Little Falls, NY 13365
Medicare Provider Number
331311
Participating Start Date
2/13/2013
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
MARY IMOGENE BASSETT HOSPITAL, THE
Pharmacy Address
FOXCARE PHARMACY
1 FOXCARE DR
ONEONTA, NY 13820-2099
Pharmacy Comments
Contract Details
Approval Date
4/2/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Vielkind, Vice President Finance
(315) 823-5281
Contract Pharmacy Representative
Bassett Healthcare Network
Russell McCall, 340B Coordinator
(607) 547-3347
Signed By Date
4/2/2025
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