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DSH390097 Holy Redeemer Hospital (Active)
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Main Details
Name
Holy Redeemer Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390097
Medicare Provider Number
390097
Additional Details
Current Program Status
Active
Registration Date
1/15/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/8/2013
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Holy Redeemer Hospital
Peter J Adamo, Executive Vice President / Chief Administrative Officer
(215) 938-3358
Primary Contact
Holy Redeemer Hospital
Hardik Patel, Sr. Pharmacy Clinical Coordinator
(215) 938-2742
Addresses
Street Address
1648 Huntingdon Pike
Meadowbrook, PA 19046
Billing Address
Holy Redeemer Hospital
12265 Townsend Road
Corporate Finance
Philadelphia, PA 19154
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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