340B Drug Pricing Program Database
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DSH210034 HARBOR HOSPITAL INC. (Active)
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Main Details
Name
HARBOR HOSPITAL INC.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210034
Medicare Provider Number
210034
Additional Details
Current Program Status
Active
Registration Date
5/5/2008
Participating Start Date
10/1/2003
Participating Approval Date
5/5/2008
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Union Memorial Hospital
Deana Stout, VP FINANCE
(410) 554-2228
Primary Contact
MedStar Franklin Square and MedStar Harbor Hospital
Daisy Butrim, Multi-site 340B Program Manager
(443) 777-8429
Addresses
Street Address
3001 SOUTH HANOVER STREET
BALTIMORE, MD 21225
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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