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DSH220033BU BEVERLY HOSPITAL (Active)
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Main Details
Name
BEVERLY HOSPITAL
Subdivision Name
Danvers Geriatrics - Gerontology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220033BU
Medicare Provider Number
220033
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/12/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/1/2018
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Beverly Hospital
Gregory Beaumier, CFO - Beverly Hospital
(978) 816-2587
Primary Contact
BILH
Jennifer Rossi, 340B Director of Compliance and Advocacy
(207) 266-9127
Addresses
Street Address
480 Maple Street
104
Danvers, MA 01923
Billing Address
Beverly Hospital
85 Herrick Street
Beverly, MA 01915
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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