340B Drug Pricing Program Database
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DSH310084 Monmouth Medical Center Southern Campus (Active)
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Main Details
Name
Monmouth Medical Center Southern Campus
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310084
Medicare Provider Number
310084
Additional Details
Current Program Status
Active
Registration Date
10/14/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/12/2014
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Monmouth Medical Center
Cory Lasker, V.P. Financial Services
(732) 923-6289
Primary Contact
RWJBarnabas Health
Bryan McCormick, Corporate Director 340B Program
(973) 322-4022
Addresses
Street Address
600 RIVER AVE
LAKEWOOD, NJ 08701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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DSH ADJ % > 11.75. REINSTATED 1/1/08 PREV PART FROM 9/22/2005 THROUGH 6/30/2007
06/30/2010
May 2025
May 2025
week
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Custom
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