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DSH330231M QUEENS HOSPITAL CENTER (NYCHHC) (Terminated)
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Main Details
Name
QUEENS HOSPITAL CENTER (NYCHHC)
Subdivision Name
QHC Assertive Community Treatment II
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330231M
Medicare Provider Number
330231
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/17/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/20/2017
Last Recertification Date
9/10/2018
Termination Date
Termination Reason
10/1/2019
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
New York City Health and Hospitals
Paul Albertson, Vice President
(212) 748-2256
Primary Contact
New York City Health + Hospitals
Danielle Sestito, Senior Director, 340B Operations
(212) 442-3892
Addresses
Street Address
82-68 164th Street
Jamaica, NY 11432
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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