340B Drug Pricing Program Database
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DSH330169 MOUNT SINAI BETH ISRAEL (Active)
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Main Details
Name
MOUNT SINAI BETH ISRAEL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330169
Medicare Provider Number
330169
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
6/2/2005
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Mount Sinai
Michael Pastier, Senior VP/CFO - The Mount Sinai Hospital
(212) 731-3149
Primary Contact
Mount Sinai Health System
Samuel Wilhelm-Ross, 340B Program Director
(646) 605-2006
Addresses
Street Address
FIRST AVENUE AT 16TH STREET
NEW YORK, NY 10003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/02/2012 Contract Pharmacies added with start date of 10/27/2012 due to public health emergency in the state of NY; NEW ADD 7/05
11/02/2012
NEW ADD 7/05
07/01/2005
June 2025
June 2025
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