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DSH310009 CLARA MAASS MEDICAL CENTER (Active)
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Main Details
Name
CLARA MAASS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310009
Medicare Provider Number
310009
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2011
Participating Approval Date
12/13/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
CLARA MAASS MEDICAL CENTER
YASMIR BISAL, Vice President Finance
(973) 450-2164
Primary Contact
RWJBarnabas Health
Bryan McCormick, Corporate Director 340B Program
(973) 322-4022
Addresses
Street Address
ONE CLARA MAASS DRIVE
BELLEVILLE, NJ 07109-3550
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/14/2014 - 340B ID updated to Medicare provider number-based standard. 12/13/10 PARTICIPATING 1/1/05-9/30/06, NOT PARTICIPATING 10/1/06-12/31/10; 12/13/10 DOC RECD TO CONFIRM ELIG DSH ADJ %; 2/9/05 - EDIT MED#;
06/14/2014
12/13/10 PARTICIPATING 1/1/05-9/30/06, NOT PARTICIPATING 10/1/06-12/31/10; 12/13/10 DOC RECD TO CONFIRM ELIG DSH ADJ %; 2/9/05 - EDIT MED#;
04/29/2011
May 2025
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