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DSH390027C TEMPLE UNIVERSITY HOSPITAL (Active)
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Main Details
Name
TEMPLE UNIVERSITY HOSPITAL
Subdivision Name
TUHJ BMT Outpatient
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390027C
Medicare Provider Number
390027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/18/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/21/2016
Last Recertification Date
8/17/2024
Contacts
Authorizing Official
Temple University Hospital
Abhinav Rastogi, President & C.E.O
(215) 707-4299
Primary Contact
Temple University Hospital
Deborah Hauser, VP - CHIEF PHARMACY OFFICER
(215) 416-1682
Addresses
Street Address
7600 Central Aveune
Philadelphia, PA 19111
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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