340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH220086D BETH ISRAEL DEACONESS MEDICAL CENTER (Terminated)
Print
Main Details
Name
BETH ISRAEL DEACONESS MEDICAL CENTER
Subdivision Name
West Campus
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220086D
Medicare Provider Number
220086
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
3/1/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/15/2010
Last Recertification Date
9/7/2022
Termination Date
Termination Reason
7/1/2023
Other
Contacts
Authorizing Official
BIDMC
Matthew Larkin, Chief Operating Officer
(617) 677-7144
Primary Contact
Beth Israel Lahey Health
Shawn J Wood, Director of System 340B Oversight
(781) 352-6685
Addresses
Street Address
ONE DEACONESS ROAD
BOSTON, MA 02215
Billing Address
Beth Israel Deaconess Medical Center
One Deaconess Road
Boston, MA 02215
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
11/19/2009- OPA NOTIFIED AUG. 28. 2009- DOC. RECD. TO CONFIRM DSH ADJ. %. 09/23/10 ADDED SHIP TO ADDR.
09/23/2010
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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