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DSH330234AN WESTCHESTER MEDICAL CENTER (Active)
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Main Details
Name
WESTCHESTER MEDICAL CENTER
Subdivision Name
WMC Bradhurst: Cancer Center - Outpatient Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH330234AN
Medicare Provider Number
330234
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/31/2019
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Westchester Medical Center
Anthony Costello, COO
(914) 493-7028
Primary Contact
Westchester Medical Center
Varghese Thankachen, Network Director of Pharmacy Business Operations
(914) 493-7205
Addresses
Street Address
19 Bradhurst Avenue
Hawthorne, NY 10532
Billing Address
Westchester Medical Center
100 Woods Road
Valhalla, NY 10595
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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