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DSH210029AN JOHNS HOPKINS BAYVIEW MEDICAL CENTER (Active)
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Main Details
Name
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Subdivision Name
JHBMC Neuro Diagnostics Lab
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210029AN
Medicare Provider Number
210029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/4/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/13/2012
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Johns Hopkins Bayview
Brian Rayme, Chief Financial Officer
(443) 377-0616
Primary Contact
Johns Hopkins
David Curtis Stimler, Assistant Director, Purchasing and Contracting for Pharmacy
(410) 502-3454
Addresses
Street Address
301 Mason Lord Drive
Baltimore, MD 21224
Billing Address
Corporate Accounts Payable
PO Box 33499
Baltimore, MD 21218-0404
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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