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DSH390142R ALBERT EINSTEIN MEDICAL CENTER (Terminated)
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Main Details
Name
ALBERT EINSTEIN MEDICAL CENTER
Subdivision Name
RESPIRATORY THERAPY/EKG ELKINS PARK
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390142R
Medicare Provider Number
390142
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/25/2012
Last Recertification Date
8/31/2022
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Jefferson Health
Walter Wyatt, VP-Finance
(215) 254-3254
Primary Contact
Albert Einstein Medical Center
Deborah Hauser, Director, Outpatient Pharmacy
(215) 456-6486
Addresses
Street Address
60 TOWNSHIP LINE ROAD
ELKINS PARK, PA 19027
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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