Disproportionate share hospital · NY
ALICE HYDE MEDICAL CENTER PEDIATRICS
Filed under ALICE HYDE MEDICAL CENTER, which files the Medicare cost report for this system.
Taking partNoTermination date filed27 November 2023Last certified29 August 2023
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 October 2011In 340B since
Finances, as filed
This record is a location registered under ALICE HYDE MEDICAL CENTER, which files the Medicare cost report. The finances are on that record.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “ALICE HYDE MEDICAL CENTER PEDIATRICS”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 2026-09-07. https://velarionrecords.com/340b/DSH330084N. Accessed 8 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 October 2011
- Termination date
- 27 November 2023
- Termination reason
- Other
- Certification date
- 29 August 2023
- Record last edited
- 27 November 2023
Identifiers
- 340B ID
- DSH330084N
- Entity type as filed
- DSH
- CMS certification number
- 330084
- NPI
- 1114954682 (NY,VT), 1568735660 (NY,VT)
- Rural
- Yes
24 Fourth Street, Suite 2, MALONE NY 12953
Associated locations
| Alice Hyde Medical Center | 133 Park Street | Malone NY 12953 |
| ALICE HYDE MEDICAL CENTER PEDIATRICS | 24 Fourth Street, Suite 2 | MALONE NY 12953 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.