340B Drug Pricing Program Database
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DSH070022TG YALE NEW HAVEN HOSPITAL (ToBeTerminated)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
YNH UROLOGY SERVICE - Urology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022TG
Medicare Provider Number
070022
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
4/9/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/30/2024
Last Recertification Date
9/3/2024
Termination Date
Termination Reason
7/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Yale New Haven Health Services
Leeann Miller, Chief Pharmacy Officer
(203) 479-3000
Primary Contact
Yale New Haven Health Services
Andrew Joseph Esposito, Sr. Reimbursement Analyst
(203) 688-1993
Addresses
Street Address
800 Howard Avenue 3rd Floor
New Haven, CT 06519
Billing Address
Yale New Haven Health System
20 York Street
New Haven, CT 06510
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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