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PED083300-00 Nemours Children's Hospital, Delaware (Active)
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Main Details
Name
Nemours Children's Hospital, Delaware
Subdivision Name
Type
Children's Hospital
Rural
No
340B ID
PED083300-00
Medicare Provider Number
083300
Additional Details
Current Program Status
Active
Registration Date
9/5/2010
Participating Start Date
9/16/2010
Participating Approval Date
9/5/2010
Last Recertification Date
9/18/2024
Contacts
Authorizing Official
Alfred I dupont Hospital or Children
Ryan Forman, Vice President of Finance
(302) 256-6060
Primary Contact
Alfred I duPont Hospital for Children
Robert Mullen, Vice President, Patient Operations
(302) 651-5711
Addresses
Street Address
1600 ROCKLAND ROAD
WILMINGTON, DE 19803
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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