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DSH220071BXY MASSACHUSETTS GENERAL HOSPITAL (Approved)
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Main Details
Name
MASSACHUSETTS GENERAL HOSPITAL
Subdivision Name
Mass General Cancer Center at Newton-Wellesley - Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220071BXY
Medicare Provider Number
220071
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/24/2025
Last Recertification Date
Contacts
Authorizing Official
Mass General Hospital
Sally Mason Boemer, Senior Vice President of Finance
(617) 724-4537
Primary Contact
Massachusetts General Hospital
Rafic Nehme, Director, Pharmacy Business & Finance
(617) 726-5125
Addresses
Street Address
2014 Washington Street
Newton, MA 02462-1607
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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