340B Drug Pricing Program Database
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DSH210004 HOLY CROSS HOSPITAL (Active)
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Main Details
Name
HOLY CROSS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210004
Medicare Provider Number
210004
Additional Details
Current Program Status
Active
Registration Date
9/2/2008
Participating Start Date
9/2/2008
Participating Approval Date
9/2/2008
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Holy Cross Health, Inc.
Julie D. Keese, Vice President and Chief Financial Officer
(301) 754-7201
Primary Contact
Holy Cross Hospital
Chi Onwumbiko, Director, Pharmacy
(301) 754-7311
Addresses
Street Address
1500 FOREST GLEN RD
SILVER SPRING, MD 20910
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/12/12 change Ao from GARY VOGAN to Gillis (DOES NOT APPEAR ON CMS LIST) DOCUMENTATION RECEIVED TO CONFIRM ELIG DSH ADJ %
02/13/2012
(DOES NOT APPEAR ON CMS LIST) DOCUMENTATION RECEIVED TO CONFIRM ELIG DSH ADJ %
02/17/2011
May 2025
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