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DSH310070 SAINT PETER'S UNIVERSITY HOSPITAL (Active)
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Main Details
Name
SAINT PETER'S UNIVERSITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310070
Medicare Provider Number
310070
Additional Details
Current Program Status
Active
Registration Date
9/11/2009
Participating Start Date
1/1/2014
Participating Approval Date
9/15/2013
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Saint Peter's University Hospital
Garrick J. Stoldt, Chief Financial Officer
(732) 745-6651
Primary Contact
Saint Peter's University Hospital
Fatimah Muhammad, 340B Pharmaceutical Services Manager
(732) 745-8600 Ext: 8280
Addresses
Street Address
254 EASTON AVENUE
NEW BRUNSWICK, NJ 08901
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/20/13 was not ready to participate until 1/1/14, record updated based on on-line registration submitted in Oct. 2013; 9/27/13-Terminate for 10/1/13 start date. Entity will not be ready with their software until 1/1/14. They will reapply during the 10/1/13 through 10/15/13 enrollment period. 9/15/13 Enrolled 10/1/2009 and terminated 7/1/2010 due to a reported DSH percentage below the statutory minimum. Ineligible from 7/1/2010 through 9/30/2013; reinstated effective 10/1/2013.
11/20/2013
9/27/13-Terminate for 10/1/13 start date. Entity will not be ready with their software until 1/1/14. They will reapply during the 10/1/13 through 10/15/13 enrollment period. 9/15/13 Enrolled 10/1/2009 and terminated 7/1/2010 due to a reported DSH percentage below the statutory minimum. Ineligible from 7/1/2010 through 9/30/2013; reinstated effective 10/1/2013.
09/27/2013
9/15/13 Enrolled 10/1/2009 and terminated 7/1/2010 due to a reported DSH percentage below the statutory minimum. Ineligible from 7/1/2010 through 9/30/2013; reinstated effective 10/1/2013.
09/15/2013
8/25/09- DOC RECD TO CONFIRM ELIGIBLE DSH ADJ%
06/30/2010
May 2025
May 2025
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