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DSH100230A MEMORIAL HOSPITAL PEMBROKE (Active)
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Main Details
Name
MEMORIAL HOSPITAL PEMBROKE
Subdivision Name
SOUTH BROWARD COMMUNITY HEALTH SERVICES AT - MIRAMAR
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100230A
Medicare Provider Number
100230
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/6/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/9/2009
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Memorial Hospital Pembroke
Felicia Cephus Turnley, Chief Executive Officer
(954) 883-8482
Primary Contact
Memorial Healthcare System
Alexsandra Soto, Director, 340B Program
(954) 276-1771
Addresses
Street Address
6730 MIRAMAR PARKWAY
MIRAMAR, FL 33023
Billing Address
Memorial Healthcare System
PO Box 269001
Attn: Accounts Payable
Pembroke Pines, FL 33026
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/7/2010- AMDP- NETWORK- SOUTH BROWARD HOSPITAL DISTRICT; 4/7/2010- AMDP- NETWORK - SOUTH BROWARD HOSPITAL DISTRICT
04/30/2012
4/7/2010- AMDP- NETWORK- SOUTH BROWARD HOSPITAL DISTRICT; 4/7/2010- AMDP- NETWORK - SOUTH BROWARD HOSPITAL DISTRICT
04/07/2010
4/7/2010- AMDP- NETWORK- SOUTH BROWARD HOSPITAL DISTRICT; 4/7/2010- AMDP- NETWORK - SOUTH BROWARD HOSPITAL DISTRICT
03/06/2009
April 2025
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