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DSH210003A Dimensions Health Corporation d/b/a University of Maryland Capital Region Medical Center (Active)
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Main Details
Name
Dimensions Health Corporation d/b/a University of Maryland Capital Region Medical Center
Subdivision Name
University of Maryland Bowie Health Center - EMG Emergency Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210003A
Medicare Provider Number
210003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/12/2008
Participating Start Date
4/1/2015
Participating Approval Date
5/12/2008
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
University of Maryland Capital Region Health
Michael Brozic, Chief Financial Officer
(410) 913-1546
Primary Contact
University of Maryland Capital Region Health
Lea Wade, 340B Analyst
(301) 237-4404
Addresses
Street Address
15001 HEALTH CENTER DRIVE
BOWIE, MD 20716
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/18/15 participating 7/1/2005 thru 9/30/13, not participating 10/1/13 thru 3/31/15 (voluntary withdrawal), reinstated effective 4/1/15 based on on-line registration submitted in January 2015
03/18/2015
6/19/2009- DOC RECD TO CONFIRM ELIG DSH ADJ %
05/12/2008
May 2025
May 2025
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