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DSH390025 Kensington Hospital (Active)
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Main Details
Name
Kensington Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390025
Medicare Provider Number
390025
Additional Details
Current Program Status
Active
Registration Date
4/2/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/18/2013
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Kensington Hospital
Kathleen Lalli, Chief Executive Officer
(215) 426-8100 Ext: 6502
Primary Contact
Kensington Hospital
Maria Zukowski, Executive Assistant
(215) 426-8100 Ext: 6502
Addresses
Street Address
136 W. Diamond Street
Philadelphia, PA 19122
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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