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DSH310014D 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
MD Anderson Cancer Center COOPER CANCER INSTITUTE - HEMATOLOGY ONCOLOGY INFUSION SERVICES
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310014D
Medicare Provider Number
310014
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/14/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/16/2010
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 BOULEVARD
SUITE M
VOORHEES, NJ 08043
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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