340B Drug Pricing Program Database
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DSH330202B KINGS COUNTY HOSPITAL CENTER (NYCHHC) (Active)
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Main Details
Name
KINGS COUNTY HOSPITAL CENTER (NYCHHC)
Subdivision Name
Opioid Treatment Program
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330202B
Medicare Provider Number
330202
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/14/2015
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
591 Kingston Ave
Brooklyn, NY 11203
Billing Address
Kings County Hospital
451 Clarkson Ave
Brooklyn, NY 11203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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