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DSH330240A HARLEM HOSPITAL CENTER (NYCHHC) (Terminated)
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Main Details
Name
HARLEM HOSPITAL CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330240A
Medicare Provider Number
330240
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/15/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/16/2010
Last Recertification Date
8/20/2014
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
New York City Health and Hospitals
Paul Albertson, Vice President
(212) 748-2256
Primary Contact
harlem hospital center
Hinnah Farooqi, Director of Pharmacy Services
(212) 939-1762
Addresses
Street Address
530 LENOX AVENUE
NEW YORK, NY 10037
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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