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DSH330385 NORTH CENTRAL BRONX HOSPITAL CENTER (NYCHHC) (Terminated)
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Main Details
Name
NORTH CENTRAL BRONX HOSPITAL CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330385
Medicare Provider Number
330385
Additional Details
Current Program Status
Terminated
Registration Date
9/12/2007
Participating Start Date
12/1/1992
Participating Approval Date
9/12/2007
Last Recertification Date
8/16/2021
Termination Date
Termination Reason
10/1/2021
Other
Contacts
Authorizing Official
New York City Health and Hospitals
Paul Albertson, Vice President
(212) 748-2256
Primary Contact
New York City Health and Hospitals
Min Than, Assistant Vice President
(212) 442-3854
Addresses
Street Address
3424 KOSSUTH AVE.
BRONX, NY 10467
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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