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DSH210002 UNIVERSITY OF MARYLAND MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF MARYLAND MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210002
Medicare Provider Number
210002
Additional Details
Current Program Status
Active
Registration Date
5/5/2008
Participating Start Date
10/1/2001
Participating Approval Date
5/5/2008
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
University of Maryland Medical Center
Joseph Dicubellis, Senior Director of Pharmacy
(410) 328-6746
Primary Contact
University of Maryland Medical Center
Robert Stachowski, Director of Business and 340B Operations
(410) 328-6886
Addresses
Street Address
22 SOUTH GREENE STREET
BALTIMORE, MD 21201
Billing Address
UNIVERSITY OF MARYLAND MEDICAL CENTER
29 SOUTH GREENE STREET, ROOM 400
BALTIMORE, MD 21201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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08/06/10 ADDED SHIPPING ADDR;4/21/06 ADDED BILL TO ADDR 12/21/11 change PC GARY A. STEWART to Rosenfeld JH 12/27/11 add medicaid # JH
12/27/2011
08/06/10 ADDED SHIPPING ADDR;4/21/06 ADDED BILL TO ADDR 12/21/11 change PC GARY A. STEWART to Rosenfeld JH
12/21/2011
08/06/10 ADDED SHIPPING ADDR;4/21/06 ADDED BILL TO ADDR
08/06/2010
April 2025
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