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DSH330395A EPISCOPAL HEALTH SERVICES INC (Active)
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Main Details
Name
EPISCOPAL HEALTH SERVICES INC
Subdivision Name
St. John's Episcopal Ambulatory Care Center / Pediatric and ENT
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330395A
Medicare Provider Number
330395
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/24/2015
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
St. John's Episcopal
Donald Morrish, Chief Executive Officer
(718) 869-7321
Primary Contact
St.John's Episcopal
Karen Muir, Chief Pharmacy Officer
(718) 869-7180
Addresses
Street Address
495 Beach 20th Street
Far Rockaway, NY 11691
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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