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DSH390027 TEMPLE UNIVERSITY HOSPITAL (Active)
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Main Details
Name
TEMPLE UNIVERSITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390027
Medicare Provider Number
390027
Additional Details
Current Program Status
Active
Registration Date
5/31/2006
Participating Start Date
1/1/2004
Participating Approval Date
5/31/2006
Last Recertification Date
8/17/2024
Contacts
Authorizing Official
Temple University Hospital
Abhinav Rastogi, President & C.E.O
(215) 707-4299
Primary Contact
Temple University Hospital
Deborah Hauser, VP - CHIEF PHARMACY OFFICER
(215) 416-1682
Addresses
Street Address
3401 North Broad Street
PHILADELPHIA, PA 19140
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/31/06 - REPLACES DSH19140
05/31/2006
May 2025
May 2025
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