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PED083300-11 Nemours Children's Hospital, Delaware (Active)
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Main Details
Name
Nemours Children's Hospital, Delaware
Subdivision Name
DPF Audiologyy - Audiology
Type
Children's Hospital
Rural
No
340B ID
PED083300-11
Medicare Provider Number
083300
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/25/2018
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Alfred I dupont Hospital or Children
Ryan Forman, Vice President of Finance
(302) 256-6060
Primary Contact
Alfred I duPont Hospital for Children
Robert Mullen, Vice President, Patient Operations
(302) 651-5711
Addresses
Street Address
1280 Almonesson Road
Deptford, NJ 08096
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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