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DSH310039 RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION (Active)
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Main Details
Name
RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310039
Medicare Provider Number
310039
Additional Details
Current Program Status
Active
Registration Date
3/6/2006
Participating Start Date
4/1/2013
Participating Approval Date
3/19/2013
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Raritan Bay Medical Center
Patricia Carroll, President
(732) 324-5000
Primary Contact
Hackensack Meridian Health
Sheba Saggu, 340B Program Manager
(732) 324-4909
Addresses
Street Address
530 NEW BRUNSWICK AVENUE
PERTH AMBOY, NJ 08861
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/19/13 participating 4/1/06 thru 6/30/11, not participating 7/1/11 thru 3/31/13, record reinstated based on new registration submitted and electronically signed by Thomas G. Shanahan on 1/15/13;
03/19/2013
May 2025
May 2025
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