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DSH330399 ST BARNABAS HOSPITAL (Active)
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Main Details
Name
ST BARNABAS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330399
Medicare Provider Number
330399
Additional Details
Current Program Status
Active
Registration Date
9/10/2007
Participating Start Date
1/1/2005
Participating Approval Date
9/10/2007
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
SBH Health System
Amanda S Rampersaud, Chief Pharmacy Officer
(718) 960-6180
Primary Contact
SBH Health System
Joshy Joseph, Associate Director of Pharmacy
(718) 960-9252
Addresses
Street Address
4422 THIRD AVENUE
BRONX, NY 10457
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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