340B Drug Pricing Program Database
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DSH310027T TRINITAS REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
TRINITAS REGIONAL MEDICAL CENTER
Subdivision Name
SUBSTANCE ABUSE CLINIC - PSYCHIATRY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310027T
Medicare Provider Number
310027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/11/2018
Last Recertification Date
9/1/2024
Contacts
Authorizing Official
Trinitas Regional Medical Center
nancy DiLiegro, VP/coo
(973) 583-0405
Primary Contact
RWJBarnabas Health
Bryan McCormick, Corporate Director 340B Program
(973) 322-4022
Addresses
Street Address
654 EAST JERSEY STREET
ELIZABETH, NJ 07206
Billing Address
Trinitas Regional Medical Center
225 Williamson Street
Elizabeth, NJ 07202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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