Covered Entity Details

DSH080001AS CHRISTIANA CARE HEALTH SYSTEM (Active) - information as of 4/29/2025 11:55:24 PM

Main Details

Name

CHRISTIANA CARE HEALTH SYSTEM

Subdivision Name

Endocrinology Practice - Springside - Endocrinology

Type

Disproportionate Share Hospital

Rural

340B ID

DSH080001AS

Medicare Provider Number

080001

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

1/9/2025

Participating Start Date

4/1/2025

Participating Approval Date

2/5/2025

Last Recertification Date

Contacts

Authorizing Official

Christiana Care Health System
Mario Voli, Vice President, Finance
(267) 250-8103

Primary Contact

ChristianaCare
Katie Gulick, Director of Pharmacy Supply Chain and Automation
(302) 623-1722

Addresses

Street Address

300 Biddle Ave
Connor Building
Suite 201
Newark, DE 19702

Billing Address

ChristianaCare Health System
P.O. Box 2653
Wilmington, DE 19805

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

ChristianaCare Health System
501 W. 14th Street
Wilmington, DE 19801

Shipping Address 2

ChristianaCare Health System
4755 Ogletown-Stanton Road
Newark, DE 19718

Shipping Address 3

ChristianaCare Health System
300 Executive Drive
Newark, DE 19702

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH080001A	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Christiana Hospital - Ambulatory Infusion Center	4755 Ogletown Stanton Road	Newark	DE	Active
DSH080001AA	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Nuclear Medicine Christiana - Nuclear Medicine	4755 Ogletown-Stanton Road	Newark	DE	Terminated
DSH080001AB	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Pathology Hematology HGCC	4701 Ogletown Stanton Road	Newark	DE	Active
DSH080001AC	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Primary Care FMC Foulk Road - Primary Care	1401 Foulk Road	Wilmington	DE	Active
DSH080001AD	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Brandywine Women's Health - Women's Health	700 W. Lea Blvd	Wilmington	DE	Active
DSH080001AE	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Center for Women's Wellness - Women's Health	4745 Ogletown-Stanton Road	Newark	DE	Active
DSH080001AF	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Womens Health Practice 1900 - Women's Health	4755 Ogletown-Stanton Road	Newark	DE	Active
DSH080001AG	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Cardiology Practice HCCC - Cardiology	200 Hygeia Dr	Newark	DE	Active
DSH080001AH	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Cardiology Practice Limestone - Cardiology	3105 Limestone Road	Wilmington	DE	Active
DSH080001AJ	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Cardiology Practice MAP - Cardiology	4735 Ogletown-Stanton Road	Newark	DE	Active
DSH080001AK	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Cardiology Practice Middletown - Cardiology	114 Sandhill Drive	Middletown	DE	Active
DSH080001AL	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Cardiology Practice PMRI - Cardiology	3506 Kennett Pike	Wilmington	DE	Active
DSH080001AM	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Cardiology Practice Quillen - Cardiology	3521 Silverside Road	Wilmington	DE	Active
DSH080001AN	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Cardiology Practice Smyrna - Cardiology	100 S. Main Street	Smyrna	DE	Active
DSH080001AP	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Middletown Free-standing Emergency Department - Emergency Services	621 Middletown Odessa Road	Middletown	DE	Active
DSH080001AQ	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Oncology Express Unit - Oncology Express Unit	4701 Ogletown Stanton Road	Newark	DE	Active
DSH080001AR	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	OP Heart Failure Center - Christiana - Cardiology	4755 Ogletown-Stanton Road	Newark	DE	Active
DSH080001AS	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Endocrinology Practice - Springside - Endocrinology	300 Biddle Ave	Newark	DE	Active
DSH080001AT	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	BH Child and Adolecent & Autism - Christiana - Behavioral Health	4745 Ogletown Stanton Road	Newark	DE	Active
DSH080001AU	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Endocrinology Practice - Smyrna - Endocrinology	100 South Main Street	Smyrna	DE	Active
DSH080001AV	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	BH Adult and Psych Assessment - Map II - Behavioral Health	4735 Ogletown Stanton Road	Newark	DE	Active
DSH080001B	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Helen F Graham Cancer Center - Cancer Center Infusion Suite	4701 Ogletown Stanton Road	Newark	DE	Active
DSH080001C	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Helen F Graham Cancer Center - Ob/Gyn Oncology	4701 Ogletown Stanton Road	Newark	DE	Active
DSH080001D	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Pulmonary Practice - Pulmonary	4745 Ogletown-Stanton Road	Newark	DE	Active
DSH080001E	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Neurology O/P Practice - Neurology	200 Hygeia Drive	Newark	DE	Active
DSH080001F	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Christiana Care Oncology and Hematology (CCOH)	4701 Ogletown Stanton Road	Newark	DE	Active
DSH080001G	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Smyrna Women's Health Practice - Women's Health Practice	100 South Main Street	Smyrna	DE	Active
DSH080001H	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Center for Urogynecology and Pelvic Surgery - Urogynecology Practice	4735 Ogletown-Stanton Road	Newark	DE	Active
DSH080001J	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Center for Advanced Gynecology & Minimally Invasive Surgery - Minimally Invasive Gynecologic Surgery	4735 Ogletown-Stanton Road	Newark	DE	Active
DSH080001K	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Obstetrics and Gynecology at Greenville - Women's Health Practice	3506 Kennett Pike	Wilmington	DE	Active
DSH080001L	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Christiana Care Rheumatology - Rheumatology	4735 Ogletown-Stanton Road	Newark	DE	Active
DSH080001M	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	OB/GYN Faculty Practice - Women's Health Practice	4735 Ogletown-Stanton Road	Newark	DE	Active
DSH080001N	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Center for Women's Obstetric, Gynecologic and Reproductive Health - Women's Health	4735 Ogletown-Stanton Road	Newark	DE	Active
DSH080001P	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Behavioral Health Outpatient - Behavioral Health	4735 Ogletown-Stanton Road	Newark	DE	Active
DSH080001Q	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	ChristianaCare Dermatology - Dermatology	4735 Ogletown-Stanton Road	Newark	DE	Terminated
DSH080001R	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Behavioral Health Psychology - Behavioral Health	4755 Ogletown-Stanton Road	Newark	DE	Active
DSH080001S	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	ChristianaCare Endocrinology Specialists - Endocrinology	4735 Ogletown-Stanton Road	Newark	DE	Active
DSH080001T	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	ChristianaCare Breast Surgeons - Breast Surgery	4701 Ogletown Stanton Road	Newark	DE	Active
DSH080001U	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	ChristianaCare Wound Care & Hyperbaric Medicine Center - Wound Care	700 Lea Blvd	Wilmington	DE	Active
DSH080001V	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	ChristianaCare General & Surgical Oncology Specialists - Surgical Oncology	4701 Ogletown Stanton Road	Newark	DE	Active
DSH080001W	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Division of Thoracic Surgery - Thoracic Surgery	4701 Ogletown Stanton Road	Newark	DE	Active
DSH080001X	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Neuro-Interventional Surgery - Neurology	4755 Ogletown-Stanton Road	Newark	DE	Active
DSH080001Y	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	ChristianaCare Primary Care at MAP 2 - Primary Care	4735 Ogletown-Stanton Road	Newark	DE	Active
DSH080001Z	Child	DSH	CHRISTIANA CARE HEALTH SYSTEM	Cancer Center - Cancer Services	4701 Ogletown Stanton Road	Newark	DE	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	AO Change Request	McMurray, Robert Chief Financial Officer Christiana Care Health System 3026237202	Voli, Mario Vice President, Finance Christiana Care Health System 2672508103	4/10/2025 6:20 AM
Details	State	Update		Approved	Active	4/1/2025 12:01 AM
Contacts	Signed By	Insert	New Registration		McMurray, Robert Chief Financial Officer Christiana Care Health System 3026237202	2/5/2025 1:55 PM
Details	340B ID	Update	New Registration		DSH080001AS	2/5/2025 1:55 PM
Details	Entity Subname	Update	New Registration	Endocrinology Practice - Springside	Endocrinology Practice - Springside - Endocrinology	2/5/2025 1:55 PM
Dates	Participating Approval Date	Update	New Registration		2/5/2025 1:55:39 PM	2/5/2025 1:55 PM
Details	State	Update	New Registration	Pending	Approved	2/5/2025 1:55 PM
Dates	Signed By Date	Update	New Registration		2/4/2025 1:53:28 PM	2/5/2025 1:55 PM
Dates	Start Date	Update	New Registration		4/1/2025 12:00:00 AM	2/5/2025 1:55 PM
Addresses	Main Address	Insert	New Registration		300 Biddle Ave Connor Building Suite 201 Newark, DE 19702	1/9/2025 4:25 PM
Addresses	Billing Address	Insert	New Registration		ChristianaCare Health System P.O. Box 2653 Wilmington, DE 19805	1/9/2025 4:25 PM
Addresses	Shipping Address	Insert	New Registration		ChristianaCare Health System 501 W. 14th Street Wilmington, DE 19801	1/9/2025 4:25 PM
Addresses	Shipping Address	Insert	New Registration		ChristianaCare Health System 4755 Ogletown-Stanton Road Newark, DE 19718	1/9/2025 4:25 PM
Addresses	Shipping Address	Insert	New Registration		ChristianaCare Health System 300 Executive Drive Newark, DE 19702	1/9/2025 4:25 PM
Contacts	Authorizing Official	Insert	New Registration		McMurray, Robert Chief Financial Officer Christiana Care Health System 3026237202	1/9/2025 4:25 PM
Contacts	Primary Contact	Insert	New Registration		Gulick, Katie Director of Pharmacy Supply Chain and Automation ChristianaCare 3026231722	1/9/2025 4:25 PM
Details	Assistance Received From Date	Insert	New Registration			1/9/2025 4:25 PM
Details	Assistance Received To Date	Insert	New Registration			1/9/2025 4:25 PM
Details	Last Recertification Date	Insert	New Registration			1/9/2025 4:25 PM
Details	Grant Number	Insert	New Registration			1/9/2025 4:25 PM
Details	340B ID	Insert	New Registration			1/9/2025 4:25 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/9/2025 4:25 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/9/2025 4:25 PM
Details	Medicare Provider Number	Insert	New Registration		080001	1/9/2025 4:25 PM
Details	Entity Name	Insert	New Registration		CHRISTIANA CARE HEALTH SYSTEM	1/9/2025 4:25 PM
Details	NOFO Number	Insert	New Registration			1/9/2025 4:25 PM
Details	Program Code	Insert	New Registration		DSH	1/9/2025 4:25 PM
Details	Entity Subname	Insert	New Registration		Endocrinology Practice - Springside	1/9/2025 4:25 PM
Dates	Participating Approval Date	Insert	New Registration			1/9/2025 4:25 PM
Details	State	Insert	New Registration		Pending	1/9/2025 4:25 PM
Dates	Registration Date	Insert	New Registration		1/9/2025 4:25:58 PM	1/9/2025 4:25 PM
Dates	Signed By Date	Insert	New Registration			1/9/2025 4:25 PM
Dates	Start Date	Insert	New Registration			1/9/2025 4:25 PM
Terminations	Termination Comments	Insert	New Registration			1/9/2025 4:25 PM
Terminations	Termination Date	Insert	New Registration			1/9/2025 4:25 PM
Terminations	Termination Effective Date	Insert	New Registration			1/9/2025 4:25 PM
Terminations	Termination Reason	Insert	New Registration			1/9/2025 4:25 PM