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DSH330056H THE BROOKLYN HOSPITAL CENTER (Terminated)
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Main Details
Name
THE BROOKLYN HOSPITAL CENTER
Subdivision Name
61ST STREET FAMILY HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330056H
Medicare Provider Number
330056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
9/5/2008
Participating Start Date
9/5/2008
Participating Approval Date
9/5/2008
Last Recertification Date
8/28/2019
Termination Date
Termination Reason
4/1/2020
Site closure
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
771 61ST STREET
BROOKLYN, NY 11201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/27/12 UPDATED SUBDIV NAME (WAS TBHC 8TH AVENUE FAMILY HEALTH CENTER), UPDATED MAIN ADD (WAS 5909 8TH AVE, BROOKLYN, NY 11220)
03/27/2012
April 2025
April 2025
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