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DSH220036 ST. ELIZABETH'S MEDICAL CTR (Active)
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Main Details
Name
ST. ELIZABETH'S MEDICAL CTR
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220036
Medicare Provider Number
220036
Additional Details
Current Program Status
Active
Registration Date
10/21/2024
Participating Start Date
1/1/2025
Participating Approval Date
11/20/2024
Last Recertification Date
Contacts
Authorizing Official
Boston Medical Center
Alastair Bell, Chief Executive Officer
(617) 638-6718
Primary Contact
Boston Medical Center
Noreen A. Palinkas, Director Pharmacy Compliance
(617) 638-5843
Addresses
Street Address
736 CAMBRIDGE STREET
BOSTON, MA 02135
Billing Address
BMC Community Hospital Corporation II DBA St. Elizabeth's Medical Center
One Boston Medical Center Place
Boston, MA 02135
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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