340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH140018 MOUNT SINAI HOSPITAL MEDICAL CENTER (Active)
Print
Main Details
Name
MOUNT SINAI HOSPITAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140018
Medicare Provider Number
140018
Additional Details
Current Program Status
Active
Registration Date
4/30/2008
Participating Start Date
10/1/2004
Participating Approval Date
4/30/2008
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Sinai Health System
Sameer Shah, President, Mount Sinai Hospital Medical Center
(773) 257-2012
Primary Contact
Sinai Health System
Thomas Yu, System Director of Ambulatory Pharmacy Services
(773) 257-2486
Addresses
Street Address
2750 W 15TH PLACE
CHICAGO, IL 60608-1797
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session