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DSH080004H BAYHEALTH MEDICAL CENTER INC. (Terminated)
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Main Details
Name
BAYHEALTH MEDICAL CENTER INC.
Subdivision Name
Kent General Hospital Outpatient Imaging at Eden Hill
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH080004H
Medicare Provider Number
080004
Outpatient Facility Provider Number
080004
Additional Details
Current Program Status
Terminated
Registration Date
2/23/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/26/2012
Last Recertification Date
8/7/2015
Termination Date
Termination Reason
4/1/2016
Other
Contacts
Authorizing Official
Bayhealth Medical Center
Michael James Tretina, CFO
(302) 744-7162
Primary Contact
Bayhealth Medical Center
Alex Zarow, Pharmacy Director
(302) 744-6753
Addresses
Street Address
200 Banning Street
Suite 140
Dover, DE 19904-3486
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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