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DSH210012A SINAI HOSPITAL OF BALTIMORE (Active)
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Main Details
Name
SINAI HOSPITAL OF BALTIMORE
Subdivision Name
SINAI HOSPITAL ADDICTIONS RECOVERY PROGRAM (SHARP)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210012A
Medicare Provider Number
210012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/3/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/3/2008
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
LifeBridge Health
NEIL MELTZER, PRESIDENT/CEO
(410) 601-5134
Primary Contact
Sinai Hospital
Lisa Polinsky, AVP, Pharmacy Services
(410) 601-4274
Addresses
Street Address
AMBULATORY PSYCHIATRY BUILDING
2440 CYLBURN AVENUE, 2ND FLOOR
BALTIMORE, MD 21215
Billing Address
SINAI HOSPITAL OF BALTIMORE
2401 W. BELVEDERE AVENUE
BALTIMORE, MD 21215
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/17/09 UPDATED ADDR (WAS 2440 CYLBURN AVENUE)
04/17/2009
May 2025
May 2025
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