340B Drug Pricing Program Database
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DSH310074S JERSEY CITY MEDICAL CENTER (Active)
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Main Details
Name
JERSEY CITY MEDICAL CENTER
Subdivision Name
THERAPEUTIC NURSERY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310074S
Medicare Provider Number
310074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/11/2015
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Jersey City Medical Center
Alexander Filipiak, Site Finance Officer
(973) 926-8208
Primary Contact
RWJBarnabas Health
Bryan McCormick, Corporate Director 340B Program
(973) 322-4022
Addresses
Street Address
395 GRAND STREET
JERSEY CITY, NJ 07302
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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