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DSH330395 EPISCOPAL HEALTH SERVICES INC (Active)
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Main Details
Name
EPISCOPAL HEALTH SERVICES INC
Subdivision Name
ST JOHN'S EPISCOPAL HOSPITAL - SOUTH SHORE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330395
Medicare Provider Number
330395
Additional Details
Current Program Status
Active
Registration Date
12/15/2005
Participating Start Date
12/15/2005
Participating Approval Date
12/15/2005
Last Recertification Date
9/17/2024
Contacts
Authorizing Official
St. John's Episcopal
Donald Morrish, Chief Executive Officer
(718) 869-7321
Primary Contact
St.John's Episcopal
Karen Muir, Chief Pharmacy Officer
(718) 869-7180
Addresses
Street Address
327 BEACH 19TH STREET
FAR ROCKAWAY, NY 11691
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/24/09 UPDATED ENTITY NAME (WAS ST JOHN'S EPISCOPAL HOSPITAL - SOUTH SHORE)
11/24/2009
May 2025
May 2025
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