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DSH210009HQ JOHNS HOPKINS HOSPITAL (Terminated)
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Main Details
Name
JOHNS HOPKINS HOSPITAL
Subdivision Name
Executive Health Program
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210009HQ
Medicare Provider Number
210009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/23/2014
Last Recertification Date
9/9/2020
Termination Date
Termination Reason
10/1/2021
Other
Contacts
Authorizing Official
Johns Hopkins Hospital
Daniel B. Smith, CFO
(443) 997-1312
Primary Contact
The Johns Hopkins Hospital
Shirley Geize, Assistant Director, Purchasing and Contracting for Pharmacy
(410) 955-0382
Addresses
Street Address
601 N Caroline St
Baltimore, MD 21287
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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