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DSH330193D FLUSHING HOSPITAL MEDICAL CENTER (Active)
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Main Details
Name
FLUSHING HOSPITAL MEDICAL CENTER
Subdivision Name
FLUSHING HOSPITAL FACULTY PRACTICE / Alcohol Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330193D
Medicare Provider Number
330193
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/17/2016
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Jamaica Hospital
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Primary Contact
Flushing Hospital Medical Center
Rehana Jamali, Director of Pharmacy and Medication Safety Office
(718) 670-5415
Addresses
Street Address
14601 45TH AVE
FLUSHING, NY 11355-2200
Billing Address
FLUSHING HOSPITAL MEDICAL CENTER
4500 PARSONS BLVD
FLUSHING, NY 11355
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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