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DSH210065 Holy Cross Germantown Hospital (Active)
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Main Details
Name
Holy Cross Germantown Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210065
Medicare Provider Number
210065
Additional Details
Current Program Status
Active
Registration Date
2/23/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/29/2016
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Holy Cross Health, Inc.
Julie D. Keese, Vice President and Chief Financial Officer
(301) 754-7201
Primary Contact
Holy Cross Hospital
Chi Onwumbiko, Director, Pharmacy
(301) 754-7311
Addresses
Street Address
19801 Observation Drive
Germantown, MD 20876
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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