340B Drug Pricing Program Database
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DSH310074Z JERSEY CITY MEDICAL CENTER (Active)
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Main Details
Name
JERSEY CITY MEDICAL CENTER
Subdivision Name
Dental Clinic - Dental
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310074Z
Medicare Provider Number
310074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/24/2018
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Jersey City Medical Center
Alexander Filipiak, Site Finance Officer
(973) 926-8208
Primary Contact
RWJBarnabas Health
Bryan McCormick, Corporate Director 340B Program
(973) 322-4022
Addresses
Street Address
418 Summit Ave
Jersey City, NJ 07306
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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