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DSH310039E RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION (Terminated)
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Main Details
Name
RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION
Subdivision Name
Old Bridge Medical Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310039E
Medicare Provider Number
310039
Outpatient Facility Provider Number
310039
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/31/2014
Last Recertification Date
9/7/2021
Termination Date
Termination Reason
4/1/2022
Other
Contacts
Authorizing Official
Hackensack Meridian Health
William Distanislao, Interim President, Chief Hospital Executive Executive Site Director for Old Bridge Medical Center & Vice President of Operations
(732) 360-4167
Primary Contact
Hackensack Meridian Health
Sheba Saggu, 340B Program Manager
(732) 324-4909
Addresses
Street Address
One Hospital Plaza
Old Bridge, NJ 08857
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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