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DSH080004 BAYHEALTH MEDICAL CENTER INC. (Active)
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Main Details
Name
BAYHEALTH MEDICAL CENTER INC.
Subdivision Name
KENT GENERAL HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH080004
Medicare Provider Number
080004
Additional Details
Current Program Status
Active
Registration Date
3/3/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/6/2009
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Bayhealth Medical Center
Michael James Tretina, CFO
(302) 744-7162
Primary Contact
Bayhealth Medical Center
Cheri Briggs, Senior Director, Pharmacy
(302) 744-7020
Addresses
Street Address
640 SOUTH STATE STREET
DOVER, DE 19901-3597
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/27/12 remove medicaid number 2/26/2010-DOC. RECD. TO CONFIRM ELIG. DSH ADJ%; 2/26/09 DOC RECD TO CONFIRM ELIG DSH ADJ%
02/27/2012
2/26/2010-DOC. RECD. TO CONFIRM ELIG. DSH ADJ%; 2/26/09 DOC RECD TO CONFIRM ELIG DSH ADJ%
03/06/2009
2/26/2010-DOC. RECD. TO CONFIRM ELIG. DSH ADJ%; 2/26/09 DOC RECD TO CONFIRM ELIG DSH ADJ%
03/06/2009
April 2025
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