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DSH080001A CHRISTIANA CARE HEALTH SYSTEM (Active)
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Main Details
Name
CHRISTIANA CARE HEALTH SYSTEM
Subdivision Name
Christiana Hospital - Ambulatory Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH080001A
Medicare Provider Number
080001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/16/2018
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Christiana Care Health System
Mario Voli, Vice President, Finance
(267) 250-8103
Primary Contact
ChristianaCare
Katie Gulick, Director of Pharmacy Supply Chain and Automation
(302) 623-1722
Addresses
Street Address
4755 Ogletown Stanton Road
Suite R110
Newark, DE 19718
Billing Address
Christiana Care Health System
P.O. Box 2653
Wilmington, DE 19805-0653
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2018, Terminated 1/2/2018'; Reinstated 4/1/2018.
01/16/2018
April 2025
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