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DSH070022Z YALE NEW HAVEN HOSPITAL (Terminated)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
Obstetrics,Gynecology & Reproductive Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022Z
Medicare Provider Number
070022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/12/2013
Last Recertification Date
9/5/2016
Termination Date
Termination Reason
10/1/2016
Loss of qualifying grant/support
Contacts
Authorizing Official
Yale New Haven Hospital
Michael Loftus, Vice President - Finance
(203) 200-3833
Primary Contact
Yale New Haven Hospital
Lorraine Lee, Executive Director, System Pharmacy Services
(203) 688-6390
Addresses
Street Address
150 Sargent Drive
2nd Floor
New Haven, CT 06511
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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