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DSH210012S SINAI HOSPITAL OF BALTIMORE (Active)
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Main Details
Name
SINAI HOSPITAL OF BALTIMORE
Subdivision Name
Heart Failure Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210012S
Medicare Provider Number
210012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/19/2016
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
LifeBridge Health
NEIL MELTZER, PRESIDENT/CEO
(410) 601-5134
Primary Contact
Sinai Hospital
Lisa Polinsky, AVP, Pharmacy Services
(410) 601-4274
Addresses
Street Address
2435 W. Belvedere Ave Suite 52
Baltimore, MD 21215
Billing Address
Sinai Hospital of Baltimore
2401 W. Belvedere Ave
Baltimore, MD 21215
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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