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DSH070022G YALE NEW HAVEN HOSPITAL (Terminated)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
Temple Radiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022G
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
9/5/2016
Termination Date
Termination Reason
10/1/2016
Loss of qualifying grant/support
Contacts
Authorizing Official
Yale New Haven Hospital
Michael Loftus, Vice President - Finance
(203) 200-3833
Primary Contact
Yale New Haven Hospital
Lorraine Lee, Executive Director, System Pharmacy Services
(203) 688-6390
Addresses
Street Address
60 Temple Street
New Haven, CT 06510
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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