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DSH070022BT YALE NEW HAVEN HOSPITAL (Terminated)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
Cardiology Clinic Guilford
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022BT
Medicare Provider Number
070022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/7/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/30/2014
Last Recertification Date
9/5/2016
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
Yale New Haven Hospital
Michael Loftus, Vice President - Finance
(203) 200-3833
Primary Contact
Yale New Haven Hospital
Lorraine Lee, Executive Director, System Pharmacy Services
(203) 688-6390
Addresses
Street Address
1591 Boston Post Road
Guilford, CT 06437
Billing Address
Yale-New Haven Hospital
20 York Street
New Haven, CT 06504
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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