340B Drug Pricing Program Database
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DSH330024F THE MOUNT SINAI HOSPITAL (Active)
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Main Details
Name
THE MOUNT SINAI HOSPITAL
Subdivision Name
Manhattan Center for Math & Science
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330024F
Medicare Provider Number
330024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/10/2019
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Mount Sinai
Michael Pastier, Senior VP/CFO - The Mount Sinai Hospital
(212) 731-3149
Primary Contact
Mount Sinai Health System
Samuel Wilhelm-Ross, 340B Program Director
(646) 605-2006
Addresses
Street Address
FDR Drive & E 116th Street
New York, NY 10029
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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Participating start date 1/1/2014; Terminated 11/1/2017; Reinstated 4/1/2019.
01/08/2019
May 2025
May 2025
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