340B Drug Pricing Program Database
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DSH310019L St. Joseph’s University Medical Center (Active)
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Main Details
Name
St. Joseph’s University Medical Center
Subdivision Name
St. Joseph's Cardiovascular Center - Woodland Park
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310019L
Medicare Provider Number
310019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/17/2013
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
999 McBride Avenue
Suite B204
Woodland Park, NJ 07424
Billing Address
St. Joseph's Hospital and Medical Center
703 Main Street
Paterson, NJ 07503
Comments
Medicaid Billing
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