340B Drug Pricing Program Database
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DSH090011D MEDSTAR WASHINGTON HOSPITAL CENTER (Active)
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Main Details
Name
MEDSTAR WASHINGTON HOSPITAL CENTER
Subdivision Name
Center for Vascular Care - Vascular
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH090011D
Medicare Provider Number
090011
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2019
Participating Start Date
7/1/2019
Participating Approval Date
6/5/2019
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
MedStar Washington Hospital Center
Amanda Lynn Barash, SVP & CFO
(202) 877-6147
Primary Contact
MedStar Washington Hospital Center
Nakita Gary, 340B Program Manager
(202) 877-5260
Addresses
Street Address
106 Irving Street, NW
POB 3600
Washington, DC 20010
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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