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DSH080001R CHRISTIANA CARE HEALTH SYSTEM (Active)
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Main Details
Name
CHRISTIANA CARE HEALTH SYSTEM
Subdivision Name
Behavioral Health Psychology - Behavioral Health
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH080001R
Medicare Provider Number
080001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/4/2020
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Christiana Care Health System
Mario Voli, Vice President, Finance
(267) 250-8103
Primary Contact
ChristianaCare
Katie Gulick, Director of Pharmacy Supply Chain and Automation
(302) 623-1722
Addresses
Street Address
4755 Ogletown-Stanton Road
Suite 1900
Newark, DE 19718
Billing Address
Christiana Care Health System
P.O. Box 2653
Wilmington, DE 19805-0653
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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