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DSH330056C THE BROOKLYN HOSPITAL CENTER (Active)
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Main Details
Name
THE BROOKLYN HOSPITAL CENTER
Subdivision Name
MYRTLE AVENUE DIALYSIS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330056C
Medicare Provider Number
330056
Outpatient Facility Provider Number
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
8/29/2024
Contacts
Authorizing Official
The Brooklyn Hospital Center
Donald P. Minarcik, VP Revenue Enhancement
(718) 488-3775
Primary Contact
The Brooklyn Hospital Center
Kathleen Minlionica, Director of Pharmacy, Per diem
(718) 250-8220
Addresses
Street Address
218 Myrtle Avenue
STE A
BROOKLYN, NY 11201-3942
Billing Address
The Brooklyn Hospital Center
121 DeKalb Avenue
Brooklyn, NY 11201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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