340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH220035B NORTH SHORE MEDICAL CENTER (Terminated)
Print
Main Details
Name
NORTH SHORE MEDICAL CENTER
Subdivision Name
Union Hospital
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220035B
Medicare Provider Number
220035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
12/16/2008
Participating Start Date
1/1/2009
Participating Approval Date
12/16/2008
Last Recertification Date
9/3/2020
Termination Date
Termination Reason
1/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
North Shore Medical Center
Charles E Adams, Executive Director, Finance
(978) 354-4000
Primary Contact
North Shore Medical Center
Ralph Michael McHatton, Director Pharmacy
(978) 354-2358
Addresses
Street Address
500 LYNNFIELD STREET
LYNN, MA 01904
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
6/8/2010-DOC RECD TO CONFIRM ELIG DSH ADJ %;9/1/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
12/16/2008
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session