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DSH090011 MEDSTAR WASHINGTON HOSPITAL CENTER (Active)
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Main Details
Name
MEDSTAR WASHINGTON HOSPITAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH090011
Medicare Provider Number
090011
Additional Details
Current Program Status
Active
Registration Date
8/23/2007
Participating Start Date
1/1/2005
Participating Approval Date
8/23/2007
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
MedStar Washington Hospital Center
Amanda Lynn Barash, SVP & CFO
(202) 877-6147
Primary Contact
MedStar Washington Hospital Center
Karla D. Evans, Director of Pharmacy
(202) 877-7916
Addresses
Street Address
110 IRVING STREET, NW
WASHINGTON, DC 20010
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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07/18/11 ADDED SHIP TO ADDR.
07/18/2011
May 2025
May 2025
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