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DSH310064G ATLANTICARE REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
ATLANTICARE REGIONAL MEDICAL CENTER
Subdivision Name
CARDIAC DIAGNOSTIC HEALTH PARK
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310064G
Medicare Provider Number
310064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
12/11/2006
Participating Start Date
7/1/2012
Participating Approval Date
6/28/2012
Last Recertification Date
8/24/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
AtlantiCare
Hak Kim, Chief Financial Officer
(609) 569-7031
Primary Contact
armc
rosemary nuzzo, Director, Finance
(609) 383-2114
Addresses
Street Address
2500 ENGLISH CREEK AVENUE
BUILDING 900, SUITE 905
EGG HARBOR TOWNSHIP, NJ 08234
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/10/10 DOC RECD TO CONFIRM ELIG DSH ADJ %
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