340B Drug Pricing Program Database
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DSH220033H BEVERLY HOSPITAL (Terminated)
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Main Details
Name
BEVERLY HOSPITAL
Subdivision Name
LAHEY OUTPATIENT CENTER DANVERS / DAN LMI NUTRITION CTR
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220033H
Medicare Provider Number
220033
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/12/2017
Last Recertification Date
9/15/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Beverly Hospital
Gregory Beaumier, CFO - Beverly Hospital
(978) 816-2587
Primary Contact
Beth Israel Lahey Health
Shawn J Wood, Director of System 340B Oversight
(781) 352-6685
Addresses
Street Address
480 Maple Street
Suite 103
Danvers, MA 01923
Billing Address
Beverly Hospital
85 Herrick Street
Danvers, MA 01915
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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