Covered Entity Details

DSH310032A Inspira Medical Centers, INC. (Active) - information as of 5/11/2025 11:24:58 PM

Main Details

Name

Inspira Medical Centers, INC.

Subdivision Name

Inspira Health Center Bridgeton - Child Partial Care - Behavioral Health

Type

Disproportionate Share Hospital

Rural

340B ID

DSH310032A

Medicare Provider Number

310032

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

4/6/2023

Participating Start Date

7/1/2023

Participating Approval Date

4/12/2023

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

333 Irving Ave
Bridgeton, NJ 08360

Billing Address
Same as Street Address

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

Inspira Medical Center Vineland
1505 W. 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
No records to display.

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
Details	Last Recertification Date	Update	Recertification	8/16/2023 9:45:42 AM	8/16/2024 1:45:55 PM	8/16/2024 1:45 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
Details	Last Recertification Date	Update	Recertification		8/16/2023 9:45:42 AM	8/16/2023 9:45 AM
Details	State	Update		Approved	Active	7/1/2023 12:01 AM
Contacts	Signed By	Insert	New Registration		Moore, Warren E Executive VP and COO Inspira Medical Centers 8566416602	4/12/2023 9:51 AM
Details	340B ID	Update	New Registration		DSH310032A	4/12/2023 9:51 AM
Details	Entity Name	Update	New Registration	INSPIRA MEDICAL CENTER VINELAND	Inspira Medical Centers, INC.	4/12/2023 9:51 AM
Details	Entity Subname	Update	New Registration	Inspira Health Center Bridgeton - Child Partial Care	Inspira Health Center Bridgeton - Child Partial Care - Behavioral Health	4/12/2023 9:51 AM
Dates	Participating Approval Date	Update	New Registration		4/12/2023 9:51:17 AM	4/12/2023 9:51 AM
Details	State	Update	New Registration	Pending	Approved	4/12/2023 9:51 AM
Dates	Signed By Date	Update	New Registration		4/6/2023 4:57:01 PM	4/12/2023 9:51 AM
Dates	Start Date	Update	New Registration		7/1/2023 12:00:00 AM	4/12/2023 9:51 AM
Addresses	Main Address	Insert	New Registration		333 Irving Ave Bridgeton, NJ 08360	4/6/2023 2:55 PM
Addresses	Shipping Address	Insert	New Registration		Inspira Medical Center Vineland 1505 W. Sherman Ave Vineland, NJ 08360	4/6/2023 2:55 PM
Contacts	Primary Contact	Insert	New Registration		Romean, Sabrina Marie Director of Pharmacy Inspira Health Network 8566418000-17556	4/6/2023 2:55 PM
Contacts	Authorizing Official	Insert	New Registration		Moore, Warren E Executive VP and COO Inspira Medical Centers 8566416602	4/6/2023 2:55 PM
Details	Assistance Received From Date	Insert	New Registration			4/6/2023 2:55 PM
Details	Assistance Received To Date	Insert	New Registration			4/6/2023 2:55 PM
Details	Last Recertification Date	Insert	New Registration			4/6/2023 2:55 PM
Details	Grant Number	Insert	New Registration			4/6/2023 2:55 PM
Details	340B ID	Insert	New Registration			4/6/2023 2:55 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/6/2023 2:55 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/6/2023 2:55 PM
Details	Medicare Provider Number	Insert	New Registration		310032	4/6/2023 2:55 PM
Details	Entity Name	Insert	New Registration		INSPIRA MEDICAL CENTER VINELAND	4/6/2023 2:55 PM
Details	NOFO Number	Insert	New Registration			4/6/2023 2:55 PM
Details	Program Code	Insert	New Registration		DSH	4/6/2023 2:55 PM
Details	Entity Subname	Insert	New Registration		Inspira Health Center Bridgeton - Child Partial Care	4/6/2023 2:55 PM
Dates	Participating Approval Date	Insert	New Registration			4/6/2023 2:55 PM
Details	State	Insert	New Registration		Pending	4/6/2023 2:55 PM
Dates	Registration Date	Insert	New Registration		4/6/2023 2:55:11 PM	4/6/2023 2:55 PM
Dates	Signed By Date	Insert	New Registration			4/6/2023 2:55 PM
Dates	Start Date	Insert	New Registration			4/6/2023 2:55 PM
Terminations	Termination Comments	Insert	New Registration			4/6/2023 2:55 PM
Terminations	Termination Date	Insert	New Registration			4/6/2023 2:55 PM
Terminations	Termination Effective Date	Insert	New Registration			4/6/2023 2:55 PM
Terminations	Termination Reason	Insert	New Registration			4/6/2023 2:55 PM