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DSH080001AS CHRISTIANA CARE HEALTH SYSTEM (Active)
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Main Details
Name
CHRISTIANA CARE HEALTH SYSTEM
Subdivision Name
Endocrinology Practice - Springside - Endocrinology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH080001AS
Medicare Provider Number
080001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/9/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/5/2025
Last Recertification Date
Contacts
Authorizing Official
Christiana Care Health System
Mario Voli, Vice President, Finance
(267) 250-8103
Primary Contact
ChristianaCare
Katie Gulick, Director of Pharmacy Supply Chain and Automation
(302) 623-1722
Addresses
Street Address
300 Biddle Ave
Connor Building
Suite 201
Newark, DE 19702
Billing Address
ChristianaCare Health System
P.O. Box 2653
Wilmington, DE 19805
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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