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
BETH ISRAEL DEACONESS MEDICAL CENTE - HEMONC INFUSION
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 BROOKLINE AVE
BOSTON, MA 02215-5400
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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