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DSH070022C YALE NEW HAVEN HOSPITAL (Terminated)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
Temple Surgical
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022C
Medicare Provider Number
070022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/2/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/18/2012
Last Recertification Date
9/11/2020
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Yale New Haven Health System
Mary G Messina, Director, Regulatory Reimbursement YNHHS
(203) 688-8543
Primary Contact
Yale New Haven Health Services
Andrew Joseph Esposito, Sr. Reimbursement Analyst
(203) 688-1993
Addresses
Street Address
111 GOOSE LANE
GUILFORD, CT 06437-5101
Billing Address
Yale New Haven Hospital
20 York Street
New Haven, CT 06510
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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