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DSH070022CX YALE NEW HAVEN HOSPITAL (Approved)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
YNH Neurology ID
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022CX
Medicare Provider Number
070022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/8/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/23/2025
Last Recertification Date
Contacts
Authorizing Official
Yale New Haven Health Services
Leeann Miller, Chief Pharmacy Officer
(203) 479-3000
Primary Contact
Yale New Haven Health Services
Andrew Joseph Esposito, Sr. Reimbursement Analyst
(203) 688-1993
Addresses
Street Address
15 York Street
New Haven, CT 06510
Billing Address
Yale New Haven Hospital
20 York Street
New Haven, CT 06510
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Start Date - 1/1/2017 Termination Date - 10/1/2021 Reinstatement Date - 7/1/2025
04/23/2025
April 2025
April 2025
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