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DSH310064 ATLANTICARE REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
ATLANTICARE REGIONAL MEDICAL CENTER
Subdivision Name
CITY DIVISION
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310064
Medicare Provider Number
310064
Additional Details
Current Program Status
Active
Registration Date
12/11/2006
Participating Start Date
7/1/2012
Participating Approval Date
6/28/2012
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
AtlantiCare
Hak Kim, Chief Financial Officer
(609) 569-7031
Primary Contact
AtlantiCare Regional Medical Center
Timothy Joseph Ryan, Reimbursement Manager
(609) 383-2805
Addresses
Street Address
1925 PACIFIC AVENUE
ATLANTIC CITY, NJ 08401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Entity reinstated effective 7/1/12 - was ineligible from 7/1/11 through 6/30/12; 6/8/12 UPDATED QUAL INFO WITH INFO FROM NEW REGISTRAION IN ORDER TO FACILITATE THE ENTITY ADDING OUTPATIENT FACILITIES; 7/1/11 terminated due to DSH percentage below statutory minimum; 3/10/10 DOC RECD TO CONFIRM ELIG DSH ADJ %
06/28/2012
7/1/12 reinstated; 6/8/12 UPDATED QUAL INFO WITH INFO FROM NEW REGISTRAION IN ORDER TO FACILITATE THE ENTITY ADDING OUTPATIENT FACILITIES; 7/1/11 terminated due to DSH percentage below statutory minimum; 3/10/10 DOC RECD TO CONFIRM ELIG DSH ADJ %
06/26/2012
6/8/12 UPDATED QUAL INFO WITH INFO FROM NEW REGISTRAION IN ORDER TO FACILITATE THE ENTITY ADDING OUTPATIENT FACILITIES; 3/10/10 DOC RECD TO CONFIRM ELIG DSH ADJ %
06/08/2012
3/10/10 DOC RECD TO CONFIRM ELIG DSH ADJ %
06/30/2011
April 2025
April 2025
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