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DSH310014A THE COOPER HEALTH SYSTEM DBA COOPER UNIVERSITY HOSPITAL (Active)
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Main Details
Name
THE COOPER HEALTH SYSTEM DBA COOPER UNIVERSITY HOSPITAL
Subdivision Name
COOPER SURGERY CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310014A
Medicare Provider Number
310014
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/9/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/14/2009
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Cooper University Hospital
Brian M Reilly, CFO
(856) 342-2443
Primary Contact
Cooper University Hospital
Tricia Anne Ligato, Director Financial Operations
(856) 382-6519
Addresses
Street Address
900 CENTENNIAL BLVD
STE E
VOORHEES, NJ 08043
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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