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DSH210012 SINAI HOSPITAL OF BALTIMORE (Active)
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Main Details
Name
SINAI HOSPITAL OF BALTIMORE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210012
Medicare Provider Number
210012
Additional Details
Current Program Status
Active
Registration Date
3/3/2008
Participating Start Date
7/1/2003
Participating Approval Date
3/3/2008
Last Recertification Date
8/15/2024
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
2401 WEST BELVEDERE AVENUE
BALTIMORE, MD 21215
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/3/08-CORRECTED ADDRESS (WAS 2401 WEST BELVEDERE STREET)
03/03/2008
May 2025
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