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DSH330231 QUEENS HOSPITAL CENTER (NYCHHC) (Active)
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Main Details
Name
QUEENS HOSPITAL CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330231
Medicare Provider Number
330231
Additional Details
Current Program Status
Active
Registration Date
9/10/2007
Participating Start Date
12/1/1992
Participating Approval Date
9/10/2007
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
NYC Health + Hospitals
Deborah Alyse Brown, Senior Vice President, Chief External Affairs Officer
(347) 947-0446
Primary Contact
NYC Health + Hospitals
Mark Capuano, Senior Director, Corporate Pharmacy 340B Program
(347) 835-9198
Addresses
Street Address
82-68 164TH ST.
JAMAICA, NY 11432
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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