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DSH330395G EPISCOPAL HEALTH SERVICES INC (Active)
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Main Details
Name
EPISCOPAL HEALTH SERVICES INC
Subdivision Name
Ambulatory Pavilion - OB/GYN
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330395G
Medicare Provider Number
330395
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/7/2024
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
St. John's Episcopal
Donald Morrish, Chief Executive Officer
(718) 869-7321
Primary Contact
St.John's Episcopal
Karen Muir, Chief Pharmacy Officer
(718) 869-7180
Addresses
Street Address
19-20 Brookhaven
4th floor
Queens, NY 11691
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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