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DSH090004 Georgetown University Hospital (Active)
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Main Details
Name
Georgetown University Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH090004
Medicare Provider Number
090004
Additional Details
Current Program Status
Active
Registration Date
1/10/2014
Participating Start Date
4/1/2014
Participating Approval Date
3/12/2014
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
MedStar Georgetown Univ Hosp
David C Ho, VP of Finance
(202) 444-4724
Primary Contact
Medstar Georgetown University Hospital
Jordan G Hughes, Pharmacy Operations Manager
(330) 546-4743
Addresses
Street Address
3800 Reservoir Road, NW
Washington, DC 20007
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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