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DSH330014 JAMAICA HOSPITAL MEDICAL CENTER (Active)
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Main Details
Name
JAMAICA HOSPITAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330014
Medicare Provider Number
330014
Additional Details
Current Program Status
Active
Registration Date
10/19/2006
Participating Start Date
10/1/2004
Participating Approval Date
10/19/2006
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Jamaica Hospital
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Primary Contact
Jamaica Hospital Medical Center
Louis Cosenza, Director
(718) 206-6052
Addresses
Street Address
8900 VAN WYCK EXPRESSWAY
JAMAICA, NY 11418
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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