340B Drug Pricing Program Database
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DSH220086DY BETH ISRAEL DEACONESS MEDICAL CENTER (Active)
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Main Details
Name
BETH ISRAEL DEACONESS MEDICAL CENTER
Subdivision Name
BIDMC Infusion Services at Mount Auburn
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220086DY
Medicare Provider Number
220086
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/27/2025
Last Recertification Date
Contacts
Authorizing Official
BIDMC
Matthew Larkin, Chief Operating Officer
(617) 677-7144
Primary Contact
Lahey
Laura Emilee Murphy, 340B Program Manager
(978) 922-3000 Ext: 3625
Addresses
Street Address
330 Mount Auburn Street
Wyman Building, 3rd Floor
Suite A
Cambridge, MA 02138
Billing Address
Beth Israel Deaconess Medical Center
330 Brookline Avenue
Boston, MA 02215
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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