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DSH210009AF JOHNS HOPKINS HOSPITAL (Active)
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Main Details
Name
JOHNS HOPKINS HOSPITAL
Subdivision Name
Psychiatric Outpatient
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210009AF
Medicare Provider Number
210009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/28/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
The Johns Hopkins Hospital
Katina Williams, VP CFO
(410) 502-5388
Primary Contact
Johns Hopkins
David Curtis Stimler, Assistant Director, Purchasing and Contracting for Pharmacy
(410) 502-3454
Addresses
Street Address
911 N. Broadway
Baltimore, MD 21287
Billing Address
Johns Hopkins Hospital
Corporate Accts Payable
PO BOX 33499
Baltimore, MD 21218-0404
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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