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DSH310076 SAINT BARNABAS MEDICAL CENTER (Terminated)
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Main Details
Name
SAINT BARNABAS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310076
Medicare Provider Number
310076
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/5/2016
Last Recertification Date
11/20/2017
Termination Date
Termination Reason
7/1/2018
DSH percentage below statutory minimum
Contacts
Authorizing Official
Saint Barnabas Medical Center
Richard Davis, Chief Financial Officer
(973) 322-5612
Primary Contact
RWJBarnabas
Robert Pellechio, VICE PRESIDENT, Corp Pharmacy
(973) 322-4327
Addresses
Street Address
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039-5668
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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