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DSH210009AG JOHNS HOPKINS HOSPITAL (Terminated)
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Main Details
Name
JOHNS HOPKINS HOSPITAL
Subdivision Name
Substance Abuse- Alcoholism
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210009AG
Medicare Provider Number
210009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/28/2012
Last Recertification Date
8/31/2022
Termination Date
Termination Reason
4/1/2023
Loss of qualifying grant/support
Contacts
Authorizing Official
The Johns Hopkins Hospital
Katina Williams, VP CFO
(410) 502-5388
Primary Contact
The Johns Hopkins Hospital
Shirley Geize, Assistant Director, Purchasing and Contracting for Pharmacy
(410) 955-0382
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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