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DSH310075 MONMOUTH MEDICAL CENTER (Active)
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Main Details
Name
MONMOUTH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310075
Medicare Provider Number
310075
Additional Details
Current Program Status
Active
Registration Date
5/12/2008
Participating Start Date
10/1/2004
Participating Approval Date
5/12/2008
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Monmouth Medical Center
Cory Lasker, V.P. Financial Services
(732) 923-6289
Primary Contact
RWJBarnabas Health
Bryan McCormick, Corporate Director 340B Program
(973) 322-4022
Addresses
Street Address
300 SECOND AVENUE
LONG BRANCH, NJ 07740
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/9/05 EDIT MED# (WAS 310075)
07/06/2011
June 2025
June 2025
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