340B Drug Pricing Program Database
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DSH310075E MONMOUTH MEDICAL CENTER (Active)
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Main Details
Name
MONMOUTH MEDICAL CENTER
Subdivision Name
Jacqueline M. Wilentz Breast Center at Colts Neck
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310075E
Medicare Provider Number
310075
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/17/2015
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Monmouth Medical Center
Cory Lasker, V.P. Financial Services
(732) 923-6289
Primary Contact
RWJBarnabas Health
Bryan McCormick, Corporate Director 340B Program
(973) 322-4022
Addresses
Street Address
310 Route 34, Second Floor
Colts Neck, NJ 07722
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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