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DSH310003 PALISADES MEDICAL CENTER (Active)
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Main Details
Name
PALISADES MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310003
Medicare Provider Number
310003
Additional Details
Current Program Status
Active
Registration Date
1/11/2008
Participating Start Date
4/1/2005
Participating Approval Date
1/11/2008
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Palisades Medical Center
Heather Hussein, VP Operations
(201) 854-5226
Primary Contact
Palisades Medical Center
Joan Mozeika, Director of Clinical Support and Pharmacy
(201) 854-5140
Addresses
Street Address
7600 RIVER ROAD
NORTH BERGEN, NJ 07047
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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