| Details | CH021887AA | Sunset Park Health Council, Inc. | Blanche Kahn Family Health Center | HRSA-Funded Health Center | 1221 E14th Street |
| Brooklyn | NY | 10/01/2023 | 03/07/2024 | 4/4/2024 2:25 PM |
| Details | CH021887DA | Sunset Park Health Council, Inc. | RAMBAM Family Health Center | HRSA-Funded Health Center | 1122 Chestnut Ave |
| Brooklyn | NY | 10/01/2023 | 03/07/2024 | 4/4/2024 2:42 PM |
| Details | CH027260 | REFUAH HEALTH CENTER, INC. | REFUAH HEALTH CENTER | HRSA-Funded Health Center | 728 N MAIN ST |
| SPRING VALLEY | NY | 07/01/2025 | | 4/8/2025 2:39 PM |
| Details | DSH070022 | YALE NEW HAVEN HOSPITAL | | Disproportionate Share Hospital | 20 York Street |
| New Haven | CT | 10/01/2020 | | 10/1/2020 12:01 AM |
| Details | DSH220077 | BAYSTATE MEDICAL CENTER | BAYSTATE NORTH CAMPUS | Disproportionate Share Hospital | 759 CHESTNUT STREET |
| SPRINGFIELD | MA | 10/01/2022 | | 10/1/2022 12:01 AM |
| Details | DSH320002 | ST. VINCENT HOSPITAL | | Disproportionate Share Hospital | 455 ST. MICHAELS DRIVE |
| SANTA FE | NM | 06/08/2020 | 07/23/2024 | 8/7/2024 4:18 PM |
| Details | DSH330014 | JAMAICA HOSPITAL MEDICAL CENTER | | Disproportionate Share Hospital | 8900 VAN WYCK EXPRESSWAY |
| JAMAICA | NY | 07/01/2023 | 12/12/2024 | 12/16/2024 10:23 AM |
| Details | DSH330024 | THE MOUNT SINAI HOSPITAL | | Disproportionate Share Hospital | ONE GUSTAVE L. LEVY PLACE |
| NEW YORK | NY | 07/21/2020 | | 7/21/2020 3:49 PM |
| Details | DSH330043 | SOUTH SHORE UNIVERSITY HOSPITAL | | Disproportionate Share Hospital | 301 EAST MAIN STREET |
| BAY SHORE | NY | 01/01/2021 | | 10/28/2024 4:46 PM |
| Details | DSH330055 | NEWYORK-PRESBYTERIAN / QUEENS | | Disproportionate Share Hospital | 56-45 MAIN STREET |
| FLUSHING | NY | 01/01/2022 | 07/15/2023 | 7/15/2023 12:01 AM |
| Details | DSH330056 | THE BROOKLYN HOSPITAL CENTER | | Disproportionate Share Hospital | 121 DEKALB AVE |
| BROOKLYN | NY | 04/22/2021 | | 4/22/2021 8:52 AM |
| Details | DSH330090 | ARNOT OGDEN MEDICAL CENTER | | Disproportionate Share Hospital | 600 Roe Ave |
| ELMIRA | NY | 07/01/2025 | | 4/10/2025 10:39 AM |
| Details | DSH330101 | NEW YORK-PRESBYTERIAN HOSPITAL | UNIVERSITY HOSP OF COLUMBIA & CORNELL | Disproportionate Share Hospital | 525 East 68th Street |
| New York | NY | 01/01/2022 | 01/01/2024 | 1/12/2024 10:22 AM |
| Details | DSH330119 | LENOX HILL HOSPITAL | | Disproportionate Share Hospital | 100 EAST 77TH STREET |
| NEW YORK | NY | 01/24/2022 | | 10/30/2024 10:33 AM |
| Details | DSH330160 | STATEN ISLAND UNIVERSITY HOSPITAL | | Disproportionate Share Hospital | 475 SEAVIEW AVE. |
| STATEN ISLAND | NY | 04/01/2021 | | 10/28/2024 4:44 PM |
| Details | DSH330193 | FLUSHING HOSPITAL MEDICAL CENTER | | Disproportionate Share Hospital | 4500 PARSONS BLVD |
PARSONS BLVD AND 45TH AVENUE
| FLUSHING | NY | 07/01/2023 | 12/13/2024 | 12/16/2024 10:23 AM |
| Details | DSH330194 | MAIMONIDES MEDICAL CENTER | | Disproportionate Share Hospital | 4802 TENTH AVE. |
| BROOKLYN | NY | 10/01/2021 | | 10/1/2021 12:01 AM |
| Details | DSH330195 | LONG ISLAND JEWISH MEDICAL CENTER | | Disproportionate Share Hospital | 270-05 76TH AVENUE |
| NEW HYDE PARK | NY | 10/01/2020 | | 10/30/2024 10:35 AM |
| Details | DSH330221 | WYCKOFF HEIGHTS MEDICAL CENTER | | Disproportionate Share Hospital | 374 STOCKHOLM STREET |
| BROOKLYN | NY | 04/01/2021 | 08/11/2023 | 8/14/2023 1:06 PM |
| Details | DSH330236 | NewYork-Presbyterian/Brooklyn Methodist | | Disproportionate Share Hospital | 506 SIXTH STREET |
| BROOKLYN | NY | 04/01/2022 | 06/30/2022 | 6/30/2022 12:01 AM |
| Details | DSH330241 | UNIVERSITY HOSPITAL | | Disproportionate Share Hospital | 750 East Adams Street |
| Syracuse | NY | 07/01/2024 | | 7/1/2024 12:01 AM |
| Details | DSH330285 | STRONG MEMORIAL HOSPITAL | | Disproportionate Share Hospital | 601 Elmwood Avenue |
| ROCHESTER | NY | 10/01/2022 | | 10/1/2022 12:01 AM |
| Details | DSH330350 | UNIVERSITY HOSPITAL OF BROOKLYN | SUNY DOWNSTATE MEDICAL CENTER | Disproportionate Share Hospital | 445 LENOX ROAD |
Attn: Pharmacy Box 36
| BROOKLYN | NY | 04/01/2025 | | 4/1/2025 12:01 AM |
| Details | FQHCLA462 | HASC DIAGNOSTIC AND TREATMENT CENTER, INC. | HASC Diagnostic and Treatment Center | Health Center Program Look-Alike | 1221 E 14th St |
| Brooklyn | NY | 04/01/2024 | | 4/1/2024 12:01 AM |
| Details | FQHCLA462A | HASC DIAGNOSTIC AND TREATMENT CENTER, INC. | HASC Diagnostic and Treatment Center | Health Center Program Look-Alike | 1122 Chestnut Ave |
| Brooklyn | NY | 04/01/2024 | | 4/1/2024 12:01 AM |
| Details | HM01655 | UMass Memorial Healthcare | NEW ENGLAND HEMOPHILIA CENTER AT UMASS MEMORIAL | Comprehensive Hemophilia Treatment Center | 55 Lake Avenue |
HI-759B
| WORCESTER | MA | 10/01/2022 | | 10/1/2022 12:01 AM |
| Details | HM04055 | Maine Medical Center | Northern Light Cancer Care | Comprehensive Hemophilia Treatment Center | 33 Whiting Hill Rd |
31
| Brewer | ME | 07/01/2023 | 04/01/2025 | 4/1/2025 12:01 AM |
| Details | HM04101 | MAINE MEDICAL CENTER | MAINE HEMOPHILIA AND THROMBOSIS CENTER | Comprehensive Hemophilia Treatment Center | 22 BRAMHALL ST |
| PORTLAND | ME | 07/01/2023 | | 7/1/2023 12:01 AM |
| Details | HM06030 | University of Connecticut Hemophilia Treatment Center | | Comprehensive Hemophilia Treatment Center | 263 Farmington Ave |
Neag Cancer Center
| Farmington | CT | 04/01/2023 | | 4/1/2023 12:01 AM |
| Details | HM13093 | LEHIGH VALLEY HOSPITAL | HEMOPHILIA TREATMENT CENTER | Comprehensive Hemophilia Treatment Center | 2545 Schoenersville Road, Suite 300 |
| Bethlehem | PA | 10/01/2022 | | 10/1/2022 12:01 AM |
| Details | HM1589 | CHILDREN'S HOSPITAL OF PHILADELPHIA | HEMOPHILIA PROGRAM AND INFUSION CENTER | Comprehensive Hemophilia Treatment Center | 3500 Civic Center Blvd |
Children's Hospital of Philadelphia, Division of Hematology
Buerger Center for Advanced Pediatric Care, 3rd Floor
| PHILADELPHIA | PA | 04/01/2023 | | 4/1/2023 12:01 AM |
| Details | HM18103 | Lehigh Valley Hospital | Hemophilia Treatment Program (CC) | Comprehensive Hemophilia Treatment Center | 1240 South Cedar Crest Boulevard, Suite 310 |
| Allentown | PA | 07/27/2022 | | 7/27/2022 3:35 PM |
| Details | HM7439 | MT. SINAI SCHOOL OF MEDICINE | | Comprehensive Hemophilia Treatment Center | 1 GUSTAVE L. LEVY PLACE |
| NEW YORK | NY | 01/01/2023 | | 1/1/2023 12:01 AM |
| Details | HM8764 | HEMOPHILIA CTR OF CENTRAL PENNSYLVANIA | THE MILTON S. HERSHEY MEDICAL CENTER | Comprehensive Hemophilia Treatment Center | 500 University Drive |
| HERSHEY | PA | 01/01/2023 | | 1/1/2023 12:01 AM |
| Details | PED393303-00 | THE CHILDREN'S HOSPITAL OF PHILADELPHIA | | Children's Hospital | 3401 Civic Center Blvd |
| PHILADELPHIA | PA | 04/01/2023 | | 4/1/2023 12:01 AM |
| Details | RRC330119-00 | LENOX HILL HOSPITAL | | Rural Referral Center | 100 EAST 77TH STREET |
| NEW YORK | NY | 01/01/2021 | 01/24/2022 | 2/16/2022 6:57 AM |
| Details | RW410422 | North Shore University Hospital | | Ryan White Part D | 865 Northern Blvd |
Ste 101
| Great Neck | NY | 10/01/2023 | | 10/1/2023 12:01 AM |