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DSH080004L BAYHEALTH MEDICAL CENTER INC. (Active)
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Main Details
Name
BAYHEALTH MEDICAL CENTER INC.
Subdivision Name
Outpatient Center, Imaging,Governors Avenue, Kent Campus
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH080004L
Medicare Provider Number
080004
Outpatient Facility Provider Number
080004
Additional Details
Current Program Status
Active
Registration Date
2/23/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/26/2012
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Bayhealth Medical Center
Michael James Tretina, CFO
(302) 744-7162
Primary Contact
Bayhealth Medical Center
Cheri Briggs, Senior Director, Pharmacy
(302) 744-7020
Addresses
Street Address
540 S. Governors Avenue
Suite 101B
Dover, DE 19904-3530
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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