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HM1589 CHILDREN'S HOSPITAL OF PHILADELPHIA (Active)
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Main Details
Name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Subdivision Name
HEMOPHILIA PROGRAM AND INFUSION CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM1589
Grant Number
H30MC48960
Additional Details
Current Program Status
Active
Registration Date
7/1/1995
Participating Start Date
7/1/1995
Participating Approval Date
8/23/2004
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Children's Hospital of Philadelphia
Jan Pieter Boswinkel, Senior Vice President & Chief Operating Officer, Hospital Operations
(215) 590-3055
Primary Contact
Children's Hospital of Philadelphia
Susan Kathleen Delaney, Division Administrator - Hematology
(215) 590-4012
Addresses
Street Address
3500 Civic Center Blvd
Children's Hospital of Philadelphia, Division of Hematology
Buerger Center for Advanced Pediatric Care, 3rd Floor
PHILADELPHIA, PA 19104
Billing Address
The Children's Hospital of Philadelphia
PO Box 2015
Secaucus, NJ 07096-2015
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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