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DSH330028 RICHMOND UNIVERSITY MEDICAL CENTER (Active)
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Main Details
Name
RICHMOND UNIVERSITY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330028
Medicare Provider Number
330028
Additional Details
Current Program Status
Active
Registration Date
11/16/2005
Participating Start Date
11/17/2005
Participating Approval Date
11/17/2005
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Richmond Medical Center
David Stephen Murray, Chief Financial Officer
(718) 818-3295
Primary Contact
Richmond Medical Center
Nicholas Galeno, 340B Compliance Manager
(718) 818-2077
Addresses
Street Address
355 BARD AVENUE
STATEN ISLAND, NY 10310
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/21/11 UPDATED MAIN ADD ZIP (WAS 10304); 12/28/06 UPDATED ENTITY NAME(WAS SISTERS OF CHARITY DBA SVCMCNY / ST VINCENT'S STATEN ISLAND)
12/21/2011
12/28/06 UPDATED ENTITY NAME(WAS SISTERS OF CHARITY DBA SVCMCNY / ST VINCENT'S STATEN ISLAND)
01/21/2010
April 2025
April 2025
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