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DSH330014K JAMAICA HOSPITAL MEDICAL CENTER (Active)
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Main Details
Name
JAMAICA HOSPITAL MEDICAL CENTER
Subdivision Name
The Jamaica Hospital Mental Health Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330014K
Medicare Provider Number
330014
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/13/2014
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Jamaica Hospital
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Primary Contact
Jamaica Hospital Medical Center
Louis Cosenza, Director
(718) 206-6052
Addresses
Street Address
90-09 VanWyck Expressway
JAMAICA, NY 11418
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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