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DSH330056N THE BROOKLYN HOSPITAL CENTER (Terminated)
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Main Details
Name
THE BROOKLYN HOSPITAL CENTER
Subdivision Name
Manhattan Avenue Health Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330056N
Medicare Provider Number
330056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/10/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/13/2013
Last Recertification Date
9/2/2021
Termination Date
Termination Reason
1/1/2022
Site closure
Contacts
Authorizing Official
The Brooklyn Hospital Center
Donald P. Minarcik, VP Revenue Enhancement
(718) 488-3775
Primary Contact
The Brooklyn Hospital Center
Kathleen Minlionica, Director of Pharmacy, Per diem
(718) 250-8220
Addresses
Street Address
960 Manhattan Avenue
Brooklyn, NY 11222
Billing Address
The Brooklyn Hospital Center
121 DeKalb Avenue
Brooklyn, NY 11201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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