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DSH390223B PENN PRESBYTERIAN MEDICAL CENTER (Active)
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Main Details
Name
PENN PRESBYTERIAN MEDICAL CENTER
Subdivision Name
INFUSION SERVICES
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390223B
Medicare Provider Number
390223
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/9/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/10/2011
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Penn Presbyterian Medical Center
Gene Gofman, Chief Financial Officer
(215) 662-9863
Primary Contact
Penn Presbyterian Medical Center
Justin Kuratnick, Director of Pharmacy
(215) 662-9291
Addresses
Street Address
1865 Route 70 East
1st Floor
CHERRY HILL, NJ 08003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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