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KPH HEALTHCARE SERVICES, INC.
DSH330223 MASSENA MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MASSENA MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330223
Entity Address
1 HOSPITAL DRIVE
MASSENA, NY 13662
Medicare Provider Number
330223
Participating Start Date
7/1/2010
Last Recertification Date
9/7/2016
Entity Termination Date
4/1/2017
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #10
300 MAIN STREET
MASSENA, NY 13662
Pharmacy Comments
Contract Details
Approval Date
7/27/2011
Contract Begin Date
7/27/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
SEAN M. CURTIN, CHIEF FINANCIAL OFFICER
(315) 769-4207
Contract Pharmacy Representative
Owen Halloran, Senior Vice President, Pharmacy Procurement
(315) 287-3600 Ext: 263
Signed By Date
7/18/2011
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