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DSH330234K Westchester Medical Center (Terminated)
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Main Details
Name
Westchester Medical Center
Subdivision Name
MidHudson Regional Hospital: 6 Cooke
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330234K
Medicare Provider Number
330234
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/21/2014
Last Recertification Date
8/15/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Westchester Medical Center
Anthony Costello, COO
(914) 493-7028
Primary Contact
Anthony County, Pharmacy Project Lead
(914) 493-7102
Addresses
Street Address
241 North Road
Poughkeepsie, NY 12601
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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