340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH220086P BETH ISRAEL DEACONESS MEDICAL CENTER (Terminated)
Print
Main Details
Name
BETH ISRAEL DEACONESS MEDICAL CENTER
Subdivision Name
The Cancer Center at Beth Israel Deaconess Medical Center - Needham / Lab Services At Cancer Center - Needham
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220086P
Medicare Provider Number
220086
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/7/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/20/2015
Last Recertification Date
8/26/2020
Termination Date
Termination Reason
4/1/2021
Other
Contacts
Authorizing Official
Beth Israel Deaconess Medical Center
Michael Cullen, CFO
(617) 667-7146
Primary Contact
Beth Israel Lahey Health
Shawn J Wood, Director of System 340B Oversight
(781) 352-6685
Addresses
Street Address
148 Chestnut St
Needham, MA 02492
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session