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DSH330014G JAMAICA HOSPITAL MEDICAL CENTER (Active)
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Main Details
Name
JAMAICA HOSPITAL MEDICAL CENTER
Subdivision Name
MEDISYS FAMILY CARE CENTER (OZONE PK CLOCKTOWER)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330014G
Medicare Provider Number
330014
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/22/2008
Participating Start Date
9/1/2008
Participating Approval Date
8/25/2008
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Jamaica Hospital
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Primary Contact
Jamaica Hospital Medical Center
Louis Cosenza, Director
(718) 206-6052
Addresses
Street Address
91-20 ATLANTIC AVENUE
OZONE PARK, NY 11416
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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