340B Drug Pricing Program Database
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DSH330046D MOUNT SINAI WEST (Active)
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Main Details
Name
MOUNT SINAI WEST
Subdivision Name
Ambulatory Psychiatric Center - PTSD
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330046D
Medicare Provider Number
330046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/13/2013
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
411 West 114th Street
New York City, NY 10025
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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