Covered Entity Details

DSH310032 Inspira Medical Centers, INC. (Active) - information as of 4/25/2025 6:32:11 PM

Main Details

Name

Inspira Medical Centers, INC.

Subdivision Name

Type

Disproportionate Share Hospital

Rural

340B ID

DSH310032

Medicare Provider Number

310032

Additional Details

Current Program Status

Active

Registration Date

7/1/2005

Participating Start Date

7/1/2005

Participating Approval Date

6/27/2005

Last Recertification Date

8/16/2024

Contacts

Authorizing Official

Inspira Health
William Pelino, SVP FINANCE & CFO
(856) 641-8000 Ext: 16605

Primary Contact

Inspira Health Network
Sabrina Marie Romean, Director of Pharmacy
(856) 641-8000 Ext: 17556

Addresses

Street Address

1505 WEST SHERMAN AVE
VINELAND, NJ 08360

Billing Address

Inspira Medical Centers Inc
333 Irving Avenue
AP 101
Bridgeton, NJ 08302

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
NEW ADD 7/05	06/27/2005

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

Inspira Health Pharmacy - Vineland
1505 West Sherman Ave
Vineland, NJ 08360

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
Contract Detail	CAREKINESIS	228 STRAWBRIDGE DR STE 200		MOORESTOWN	NJ	08057-4600	10/03/2024	01/01/2025			01/01/2025
Contract Detail	WOODRUFFS DRUGS	30 NORTH LAUREL STREET		BRIDGETON	NJ	08302-0830	05/04/2012	05/09/2012		10/16/2019	11/11/2019

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH310032A	Child	DSH	Inspira Medical Centers, INC.	Inspira Health Center Bridgeton - Child Partial Care - Behavioral Health	333 Irving Ave	Bridgeton	NJ	Active
DSH310032B	Child	DSH	Inspira Medical Centers, INC.	Inspira Health Center Woodbury - Wellness Recovery - Behavioral Health	17 W. Red Bank Avenue	Woodbury	NJ	Active
DSH310032C	Child	DSH	Inspira Medical Centers, INC.	Adolescent Partial Hospital Program - Behavioral Health	17 West Red Bank Ave	Woodbury	NJ	Active
DSH310032D	Child	DSH	Inspira Medical Centers, INC.	Inspira Health Center Bridgeton - IOP Adult Partial Care - Behavioral Health	333 Irving Ave	Bridgeton	NJ	Active
DSH310032E	Child	DSH	Inspira Medical Centers, INC.	Inspira Behavioral Health Center Glassboro - Behavioral Health	200 Rowan Blvd	Glassboro	NJ	Active
DSH310032F	Child	DSH	Inspira Medical Centers, INC.	Adult Partial Hospital Program - Behavioral Health	17 West Red Bank Ave	Woodbury	NJ	Active
DSH310032G	Child	DSH	Inspira Medical Centers, INC.	Inspira Health Center Woodbury - Prenatal Care Program - Prenatal Care	509 North Broad Street	Woodbury	NJ	Terminated
DSH310032H	Child	DSH	Inspira Medical Centers, INC.	Children's Partial Hospital Program - Behavioral Health	104 West Red Bank Ave	West Deptford	NJ	Active
DSH310032J	Child	DSH	Inspira Medical Centers, INC.	Inspira Health Center Bridgeton - Emergency Department - Emergency Medicine	333 Irving Ave	Bridgeton	NJ	Active
DSH310032K	Child	DSH	Inspira Medical Centers, INC.	Inspira Health Cardiovascular Diagnostic Center	150 N. Almonesson Road, Suite 105	Deptford	NJ	Terminated
DSH310032L	Child	DSH	Inspira Medical Centers, INC.	Inspira Health Center Bridgeton - Substance Abuse - Behavioral Health	333 Irving Ave	Bridgeton	NJ	Active
DSH310032M	Child	DSH	Inspira Medical Centers, INC.	Inspira Health Center Woodbury - Emergency Department - Emergency Medicine	30 Oak Street	Woodbury	NJ	Active
DSH310032N	Child	DSH	Inspira Medical Centers, INC.	Inspira Health Center Bridgeton - Adult Partial Care - Behavioral Health	333 Irving Ave	Bridgeton	NJ	Active
DSH310032P	Child	DSH	Inspira Medical Centers, INC.	Inspira MTM at LIFE - Clinic - LIFE MTM	2445 S. Delsea Drive	Vineland	NJ	Active
DSH310032Q	Child	DSH	Inspira Medical Centers, INC.	Vineland Endoscopy Center - Endoscopy	2950 College Drive	Vineland	NJ	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Medicaid Billing	Medicaid: Number	Delete	Change Request	3674509 (NJ)		1/6/2025 3:25 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1164487542 (NJ)		1/6/2025 3:25 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1962048231 (NJ)		1/6/2025 3:25 PM
Details	Last Recertification Date	Update	Recertification	8/17/2023 10:45:06 AM	8/16/2024 1:47:36 PM	8/16/2024 1:47 PM
Contacts	Authorizing Official	Update	Change Request	Moore, Warren E Executive VP and COO Inspira Medical Centers 8566416602	Pelino, William SVP FINANCE & CFO Inspira Health 8566418000-16605	2/26/2024 12:18 PM
Contacts	Primary Contact	Update	Recertification	ALESSANDRINI, JOE Vice-President Clinical Services Inspira Health Network 8566417501	Romean, Sabrina Marie Director of Pharmacy Inspira Health Network 8566418000-17556	8/17/2023 10:45 AM
Details	Last Recertification Date	Update	Recertification	9/2/2022 7:20:33 AM	8/17/2023 10:45:06 AM	8/17/2023 10:45 AM
Contacts	Authorizing Official	Update	AO Change Request	BALDOSARO, THOMAS Chief Financial Officer Inspira Health Network 8566416605	Moore, Warren E Executive VP and COO Inspira Medical Centers 8566416602	10/27/2022 10:18 AM
Details	Last Recertification Date	Update	Recertification	9/15/2021 11:51:52 AM	9/2/2022 7:20:33 AM	9/2/2022 7:20 AM
Details	Last Recertification Date	Update	Recertification	9/8/2020 2:28:54 PM	9/15/2021 11:51:52 AM	9/15/2021 11:51 AM
Addresses	Shipping Address	Insert	Change Request		Inspira Health Pharmacy - Vineland 1505 West Sherman Ave Vineland, NJ 08360	7/26/2021 8:26 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1962048231 ( )		9/8/2020 2:28 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1164487542 ( )		9/8/2020 2:28 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1164487542	9/8/2020 2:28 PM
Medicaid Billing	NPI: State	Insert	Recertification		NJ	9/8/2020 2:28 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1962048231	9/8/2020 2:28 PM
Medicaid Billing	NPI: State	Insert	Recertification		NJ	9/8/2020 2:28 PM
Details	Last Recertification Date	Update	Recertification	8/22/2019 5:33:16 AM	9/8/2020 2:28:54 PM	9/8/2020 2:28 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1962048231	3/5/2020 7:59 AM
Details	Last Recertification Date	Update	Recertification	8/22/2018 2:02:51 PM	8/22/2019 5:33:16 AM	8/22/2019 5:33 AM
Details	Last Recertification Date	Update	Recertification	11/15/2017 9:52:47 PM	8/22/2018 2:02:51 PM	8/22/2018 2:02 PM
Details	Last Recertification Date	Update	Recertification	8/11/2016 12:00:00 AM	11/15/2017 9:52:47 PM	11/15/2017 9:52 PM
Contacts	Primary Contact	Update	Recertification	ALESSANDRINI, JOE Vice-President Clinical Services 8566417501	ALESSANDRINI, JOE Vice-President Clinical Services Inspira Health Network 8566417501	10/26/2017 8:43 AM
Contacts	Authorizing Official	Update		BALDOSARO, THOMAS Chief Financial Officer 8566416605	BALDOSARO, THOMAS Chief Financial Officer Inspira Health Network 8566416605	10/25/2017 7:52 AM
Addresses	Main Address	Insert			1505 WEST SHERMAN AVE VINELAND, NJ 08360	8/11/2016 10:11 AM
Contacts	Authorizing Official	Insert			BALDOSARO, THOMAS Chief Financial Officer 8566416605	8/11/2016 10:11 AM
Contacts	Primary Contact	Update		ALESSANDRINI, JOE ADMINISTRATIVE DIRECTOR, PHARMACY SERVICES 8566417557	ALESSANDRINI, JOE Vice-President Clinical Services 8566417501	8/11/2016 10:11 AM
Details	Last Recertification Date	Update		8/19/2015 12:00:00 AM	8/11/2016 12:00:00 AM	8/11/2016 10:11 AM
Addresses	Billing Address	Insert			Inspira Medical Centers Inc 333 Irving Avenue AP 101 Bridgeton, NJ 08302	12/21/2015 9:49 AM
Medicaid Billing	Medicaid: Is Primary	Update		True	False	8/19/2015 1:30 PM
Details	Last Recertification Date	Update		8/26/2014 12:00:00 AM	8/19/2015 12:00:00 AM	8/19/2015 1:30 PM
Medicaid Billing	NPI: Number	Insert			1164487542	8/26/2014 6:52 AM
Details	Last Recertification Date	Update		8/19/2013 12:00:00 AM	8/26/2014 12:00:00 AM	8/26/2014 6:52 AM
Details	Last Recertification Date	Update		7/1/2012 12:00:00 AM	8/19/2013 12:00:00 AM	8/19/2013 10:15 AM
Details	Entity Name	Update		SOUTH JERSEY HOSPITAL, INC.	Inspira Medical Centers, INC.	7/22/2013 9:00 AM
Contacts	Primary Contact	Insert			ALESSANDRINI, JOE ADMINISTRATIVE DIRECTOR, PHARMACY SERVICES 8566417557	5/16/2012 8:05 AM
Details	Last Recertification Date	Update			7/1/2012 12:00:00 AM	5/16/2012 8:05 AM
Dates	Participating Approval Date	Update		6/27/2005 7:23:23 AM	6/27/2005 12:00:00 AM	3/26/2012 9:28 AM
Medicaid Billing	Medicaid: Is Primary	Insert			True	7/1/2005 12:00 AM
Medicaid Billing	Medicaid: Number	Insert			3674509	7/1/2005 12:00 AM
Medicaid Billing	Medicaid: State	Insert			NJ	7/1/2005 12:00 AM
Details	Last Recertification Date	Insert				6/27/2005 7:23 AM
Details	Grant Number	Insert				6/27/2005 7:23 AM
Details	340B ID	Insert			DSH310032	6/27/2005 7:23 AM
Details	Is Authorizing Official EHB Data	Insert				6/27/2005 7:23 AM
Dates	Last Date That 340B Drugs Purchased	Insert				6/27/2005 7:23 AM
Details	Medicare Provider Number	Insert			310032	6/27/2005 7:23 AM
Details	Entity Name	Insert			SOUTH JERSEY HOSPITAL, INC.	6/27/2005 7:23 AM
Details	Program Code	Insert			DSH	6/27/2005 7:23 AM
Details	Entity Subname	Insert				6/27/2005 7:23 AM
Dates	Participating Approval Date	Insert			6/27/2005 7:23:23 AM	6/27/2005 7:23 AM
Details	State	Insert			Active	6/27/2005 7:23 AM
Dates	Registration Date	Insert			7/1/2005 12:00:00 AM	6/27/2005 7:23 AM
Dates	Signed By Date	Insert			4/29/2005 12:00:00 AM	6/27/2005 7:23 AM
Dates	Start Date	Insert			7/1/2005 12:00:00 AM	6/27/2005 7:23 AM
Terminations	Termination Comments	Insert				6/27/2005 7:23 AM
Terminations	Termination Date	Insert				6/27/2005 7:23 AM
Terminations	Termination Effective Date	Insert				6/27/2005 7:23 AM
Terminations	Termination Reason	Insert				6/27/2005 7:23 AM
Details	Comments Public	Insert			NEW ADD 7/05	6/27/2005 7:23 AM