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DSH080009 Bayhealth Hospital Sussex Campus (Active)
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Main Details
Name
Bayhealth Hospital Sussex Campus
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH080009
Medicare Provider Number
080009
Additional Details
Current Program Status
Active
Registration Date
4/5/2018
Participating Start Date
3/15/2022
Participating Approval Date
5/10/2018
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Bayhealth Medical Center
Michael James Tretina, CFO
(302) 744-7162
Primary Contact
Bayhealth Medical Center
Cheri Briggs, Senior Director, Pharmacy
(302) 744-7020
Addresses
Street Address
100 Wellness Way
MILFORD, DE 19963
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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