Covered Entity Details

DSH100086 BROWARD HEALTH NORTH (Active)

Main Details

Name

BROWARD HEALTH NORTH

Subdivision Name

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH100086

Medicare Provider Number

100086

Additional Details

Current Program Status

Active

Registration Date

4/8/2022

Participating Start Date

7/1/2022

Participating Approval Date

4/11/2022

Last Recertification Date

8/22/2024

Contacts

Authorizing Official

Broward Health North
Michael Cornehls, Chief Financial Officer
(954) 786-2454

Primary Contact

Broward Health North Hospital
Winfred Castro, Pharmacy Regional Manager
(954) 786-6887

Addresses

Street Address

201 EAST SAMPLE ROAD
DEERFIELD BEACH, FL 33064

Billing Address
Same as Street Address

Comment	Last Updated On
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Participated starting 1/1/2018; Terminated 4/1/2018; Reinstated 7/1/2022.	04/11/2022
Participating 10/1/2015 until terminated effective 7/1/2016, reinstated effective 1/1/2018.	10/19/2017
CE reinstated effective 10/1/15; was participating from 4/1/15 to 4/1/15 (terminated on date of eligibility); not participating from 4/1/15 to 9/30/15 due to software issues. 3/12/15 participating 10/1/2007 thru 12/31/2008, terminated effective 1/1/2009 due to DSH% below statutory minimum, reinstated effective 4/1/15 based on on-line registration submitted in January 2015;	07/21/2015
3/12/15 participating 10/1/2007 thru 12/31/2008, terminated effective 1/1/2009 due to DSH% below statutory minimum, reinstated effective 4/1/15 based on on-line registration submitted in January 2015; 8/29/07- DOC RECD TO CONFIRM ELIGIBLE DSH ADJ %	03/12/2015
8/29/07- DOC RECD TO CONFIRM ELIGIBLE DSH ADJ %	12/31/2008

340B Drug Pricing Program Database