340B Drug Pricing Program Database
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DSH330240R HARLEM HOSPITAL CENTER (NYCHHC) (Active)
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Main Details
Name
HARLEM HOSPITAL CENTER (NYCHHC)
Subdivision Name
Harlem Hospital Emergency Department (ED)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330240R
Medicare Provider Number
330240
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/10/2015
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
512 Lenox Ave
New York, NY 10037
Billing Address
Harlem Hospital
506 Lenox Ave
New York, NY 10037
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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