340B Drug Pricing Program Database
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DSH310039G RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION (Terminated)
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Main Details
Name
RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION
Subdivision Name
Medical Arts Building- Radiology - Imaging Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310039G
Medicare Provider Number
310039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/23/2018
Last Recertification Date
8/16/2018
Termination Date
Termination Reason
1/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Raritan Bay Medical Center
THOMAS G. SHANAHAN, Executive VP, COO
(732) 324-5401
Primary Contact
DSH310039
Sheba Saggu, 340B Administrator
(732) 324-4909
Addresses
Street Address
2 Hospital Plaza
1rst Floor
Old Bridge, NJ 08857
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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