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DSH220035 NORTH SHORE MEDICAL CENTER (Active)
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Main Details
Name
NORTH SHORE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220035
Medicare Provider Number
220035
Additional Details
Current Program Status
Active
Registration Date
9/5/2008
Participating Start Date
9/5/2008
Participating Approval Date
9/5/2008
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
North Shore Medical Center
Charles E Adams, Executive Director, Finance
(978) 354-4000
Primary Contact
Mass General Brigham - Boston, MA
Rafic Nehme, Enterprise Director
(617) 726-5125
Addresses
Street Address
81 HIGHLAND AVENUE
SALEM, MA 01970
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/8/2010-DOC RECD TO CONFIRM ELIG DSH ADJ % 9/1/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
09/05/2008
April 2025
April 2025
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