340B Drug Pricing Program Database
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DSH330128X ELMHURST HOSPITAL CENTER (NYCHHC) (Active)
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Main Details
Name
ELMHURST HOSPITAL CENTER (NYCHHC)
Subdivision Name
ACT Program (Assertive Community Treatment)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330128X
Medicare Provider Number
330128
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/6/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/1/2016
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
NYC Health + Hospitals
Deborah Alyse Brown, Senior Vice President, Chief External Affairs Officer
(347) 947-0446
Primary Contact
NYC Health + Hospitals
Mark Capuano, Senior Director, Corporate Pharmacy 340B Program
(347) 835-9198
Addresses
Street Address
78-07 41st Avenue
Elmhurst, NY 11373
Billing Address
Elmhurst Hospital
79-01 Broadway
Elmhurst, NY 11373
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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