340B Drug Pricing Program Database
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DSH330240G HARLEM HOSPITAL CENTER (NYCHHC) (Active)
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Main Details
Name
HARLEM HOSPITAL CENTER (NYCHHC)
Subdivision Name
Medicine Clinic / Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330240G
Medicare Provider Number
330240
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/31/2014
Participating Start Date
1/1/2015
Participating Approval Date
11/19/2014
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
NYC Health + Hospitals
Deborah Alyse Brown, Senior Vice President, Chief External Affairs Officer
(347) 947-0446
Primary Contact
NYC Health + Hospitals
Mark Capuano, Senior Director, Corporate Pharmacy 340B Program
(347) 835-9198
Addresses
Street Address
46 W 137th Street
New York, NY 10037
Billing Address
Harlem Hospital Center
506 Lenox Ave
New York, NY 10037
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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