340B Drug Pricing Program Database
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DSH210015 FRANKLIN SQUARE HOSPITAL (Active)
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Main Details
Name
FRANKLIN SQUARE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210015
Medicare Provider Number
210015
Additional Details
Current Program Status
Active
Registration Date
1/13/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/10/2015
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Union Memorial Hospital
Deana Stout, VP FINANCE
(410) 554-2228
Primary Contact
MedStar Franklin Square and MedStar Harbor Hospital
Daisy Butrim, Multi-site 340B Program Manager
(443) 777-8429
Addresses
Street Address
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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