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DSH330024P THE MOUNT SINAI HOSPITAL (Terminated)
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Main Details
Name
THE MOUNT SINAI HOSPITAL
Subdivision Name
Mt. Sinai Sports Therapy Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330024P
Medicare Provider Number
330024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/17/2013
Last Recertification Date
8/25/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Mount Sinai
Michael Pastier, Senior VP/CFO - The Mount Sinai Hospital
(212) 731-3149
Primary Contact
Joanne Meyer, Director of Pharmacy
(212) 241-6171
Addresses
Street Address
625 Madison Avenue
New York, NY 10022
Billing Address
Mount Sinai Hospital
One Gustave L. Levy Place
New York, NY 10029
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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