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DSH220031E BOSTON MEDICAL CENTER (Active)
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Main Details
Name
BOSTON MEDICAL CENTER
Subdivision Name
Greater Roslindale Medical and Dental Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220031E
Medicare Provider Number
220031
Outpatient Facility Provider Number
220031
Additional Details
Current Program Status
Active
Registration Date
7/10/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/29/2014
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Boston Medical Center
Alastair Bell, Chief Executive Officer
(617) 638-6718
Primary Contact
Boston Medical Center
Noreen A. Palinkas, Director Pharmacy Compliance
(617) 638-5843
Addresses
Street Address
4199 WASHINGTON STREET
GTR ROSLINDALE MED/DEN CENTER
ROSLINDALE, MA 02131-1733
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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