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DSH070022DZ YALE NEW HAVEN HOSPITAL (Active)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
PEDIATRIC SPEC CTR @ 1 LONG WHARF - PEDI LW ADOLESCENT COMPREHENSIVE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022DZ
Medicare Provider Number
070022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/2/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/30/2024
Last Recertification Date
Contacts
Authorizing Official
Yale New Haven Health Services
Leeann Miller, Chief Pharmacy Officer
(203) 479-3000
Primary Contact
Yale New Haven Health Services
Andrew Joseph Esposito, Sr. Reimbursement Analyst
(203) 688-1993
Addresses
Street Address
1 LONG WHARF DR
NEW HAVEN, CT 06511-5991
Billing Address
Yale New Haven Health System
20 York Street
New Haven, CT 06510
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2018, terminated 7/1/2021. Reinstated 10/1/2024.
07/30/2024
April 2025
April 2025
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