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DSH330204 BELLEVUE HOSPITAL CENTER (NYCHHC) (Active)
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Main Details
Name
BELLEVUE HOSPITAL CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330204
Medicare Provider Number
330204
Additional Details
Current Program Status
Active
Registration Date
12/14/2005
Participating Start Date
8/1/1993
Participating Approval Date
12/14/2005
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
NYC Health + Hospitals
Deborah Alyse Brown, Senior Vice President, Chief External Affairs Officer
(347) 947-0446
Primary Contact
NYC Health + Hospitals
Mark Capuano, Senior Director, Corporate Pharmacy 340B Program
(347) 835-9198
Addresses
Street Address
462 FIRST AVENUE @ 27TH STREET
D/B/A NYC HEALTH & HOSPITAL CORP
NEW YORK, NY 10016
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/4/05 - EDIT STREET ADDRESS FROM 27TH ST & FIRST AVE, EDIT CONTACT, 10/26/05 - EDIT STREET ADDRESS FROM 462 FIRST AVE TO 27TH ST & FIRST AVE, 12/14/2005 - ADMIN CORRECTION - REPLACES DSH550
09/06/2006
May 2025
May 2025
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