340B Drug Pricing Program Database
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DSH330234V WESTCHESTER MEDICAL CENTER (Active)
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Main Details
Name
WESTCHESTER MEDICAL CENTER
Subdivision Name
MidHudson Regional Hospital: Emergency Dept
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330234V
Medicare Provider Number
330234
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/21/2014
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Westchester Medical Center
Anthony Costello, COO
(914) 493-7028
Primary Contact
Westchester Medical Center
Varghese Thankachen, Network Director of Pharmacy Business Operations
(914) 493-7205
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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