340B Drug Pricing Program Database
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DSH310027U TRINITAS REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
TRINITAS REGIONAL MEDICAL CENTER
Subdivision Name
CRANFORD RENAL DIALYSIS - DIALYSIS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310027U
Medicare Provider Number
310027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/20/2020
Last Recertification Date
9/1/2024
Contacts
Authorizing Official
Trinitas Regional Medical Center
nancy DiLiegro, VP/coo
(973) 583-0405
Primary Contact
RWJBarnabas Health
Bryan McCormick, Corporate Director 340B Program
(973) 322-4022
Addresses
Street Address
205 Birchwood Avenue
Cranford, NJ 07016
Billing Address
Trinitas Regional Medical Center
225 Williamson Street
Elizabeth, NJ 07202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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