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DSH310014K THE COOPER HEALTH SYSTEM DBA COOPER UNIVERSITY HOSPITAL (Active)
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Main Details
Name
THE COOPER HEALTH SYSTEM DBA COOPER UNIVERSITY HOSPITAL
Subdivision Name
COOPER UNIVERSITY HEALTH CARE MOORE - Moorestown Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310014K
Medicare Provider Number
310014
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/28/2024
Last Recertification Date
Contacts
Authorizing Official
Cooper University Hospital
Brian M Reilly, CFO
(856) 342-2443
Primary Contact
Cooper University Hospital
Tricia Anne Ligato, Director Financial Operations
(856) 382-6519
Addresses
Street Address
400 W ROUTE 38
MOORESTOWN, NJ 08057-3219
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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