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DSH310027E TRINITAS REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
TRINITAS REGIONAL MEDICAL CENTER
Subdivision Name
AMBULANCE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310027E
Medicare Provider Number
310027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
3/2/2006
Participating Start Date
4/1/2006
Participating Approval Date
3/2/2006
Last Recertification Date
9/3/2014
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Trinitas regional medical center
Nancy DiLiegro, Vice President of Clinical Operations and Physician Services, Chief Clinical Officer
(908) 994-5226
Primary Contact
Trinitas Regional Medical Center
Sharon Greasheimer, DIRECTOR OF PHARMACY
(908) 994-5238
Addresses
Street Address
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/5/11 UPDATED ENTITY NAME (WAS TRINITAS HOSPITAL), UPDATED ZIP (WAS 07207)
10/05/2011
May 2025
May 2025
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