340B Drug Pricing Program Database
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DSH310019G St. Joseph’s University Medical Center (Active)
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Main Details
Name
St. Joseph’s University Medical Center
Subdivision Name
Outpatient Mental Health Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310019G
Medicare Provider Number
310019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2013
Participating Start Date
1/15/2013
Participating Approval Date
1/15/2013
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
St. Joseph's Health
Robert Joseph Nesselbush, Chief Financial Officer
(973) 754-2023
Primary Contact
St. Joseph’s University Medical Center
Alexander Lee, 340B Program Manager
(973) 754-4823
Addresses
Street Address
641 Main Street
Paterson, NJ 07503
Billing Address
St. Joseph's Hospital and Medical Center
703 Main Street
Paterson, NJ 07503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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