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DSH070022BP YALE NEW HAVEN HOSPITAL (Terminated)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
Cardiology Clinic West Haven
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022BP
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
12/1/2017
Termination Date
Termination Reason
10/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Yale New Haven Hospital
Michael Loftus, Vice President - Finance
(203) 200-3833
Primary Contact
Yale New Haven Health System
Mary G Messina, Director, Regulatory Reimbursement YNHHS
(203) 688-8543
Addresses
Street Address
764 Campbell Avenue
West Haven, CT 06516
Billing Address
Yale-New Haven Hospital
20 York Street
New Haven, CT 06510
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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