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DSH310014G THE COOPER HEALTH SYSTEM DBA COOPER UNIVERSITY HOSPITAL (Active)
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Main Details
Name
THE COOPER HEALTH SYSTEM DBA COOPER UNIVERSITY HOSPITAL
Subdivision Name
MD Anderson Cooper Cancer Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310014G
Medicare Provider Number
310014
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/11/2014
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Cooper University Hospital
Brian M Reilly, CFO
(856) 342-2443
Primary Contact
Cooper University Hospital
Tricia Anne Ligato, Director Financial Operations
(856) 382-6519
Addresses
Street Address
Two Cooper Plaza
400 Haddon Avenue
Camden, NJ 08103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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