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DSH390329 EINSTEIN MEDICAL CENTER MONTGOMERY (Approved)
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Main Details
Name
EINSTEIN MEDICAL CENTER MONTGOMERY
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390329
Medicare Provider Number
390329
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
6/2/2025
Last Recertification Date
Contacts
Authorizing Official
Jefferson Health
CARRIE FREY, Director of Finance
(215) 612-4313
Primary Contact
Jefferson Health
Dustin Ottemiller, VP, Finance
(215) 503-5219
Addresses
Street Address
559 WEST GERMANTOWN PIKE
EAST NORRITON, PA 19403
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2016; Terminated 1/1/2025; Reinstated 7/1/2025.
06/02/2025
June 2025
June 2025
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