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DSH330101Q NEW YORK-PRESBYTERIAN HOSPITAL (Terminated)
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Main Details
Name
NEW YORK-PRESBYTERIAN HOSPITAL
Subdivision Name
I. SHERWOOD WRIGHT CENTER FOR AGING
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330101Q
Medicare Provider Number
330101
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
2/18/2012
Participating Start Date
7/1/2016
Participating Approval Date
3/15/2012
Last Recertification Date
9/9/2020
Termination Date
Termination Reason
4/1/2021
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
New York Presbyterian
William Farrell, SVP, Finance
(212) 297-4358
Primary Contact
NewYork-Presbyterian Hospital
Gajendra Gharia, Director of Finance, Dept of 340B Programs
(212) 297-4353
Addresses
Street Address
1484 1ST AVE
New York, NY 10075-2304
Billing Address
NewYork-Presbyterian Hospital
525 East 68th Street
New York, NY 10065
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/13/16 Participated starting 3/15/12, terminated 8/14/13, reinstated 7/1/16.
05/13/2016
8/14/2013 Site terminated as entity wishes to convert to outpatient use of GPO for a non-registered site
08/14/2013
May 2025
May 2025
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