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DSH220031D BOSTON MEDICAL CENTER (Active)
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Main Details
Name
BOSTON MEDICAL CENTER
Subdivision Name
South Boston Community Health Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220031D
Medicare Provider Number
220031
Outpatient Facility Provider Number
220031
Additional Details
Current Program Status
Active
Registration Date
7/15/2014
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
(618) 638-5843
Addresses
Street Address
409 W BROADWAY
SOUTH BOSTON COMM HLT CNT
SOUTH BOSTON, MA 02127-2245
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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