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DSH070022JE YALE NEW HAVEN HOSPITAL (Active)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
YNH OBGYN GEN ADOLES LONG WHARF - Pediatric Gynecology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022JE
Medicare Provider Number
070022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/26/2021
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Yale New Haven Health Services
Leeann Miller, Chief Pharmacy Officer
(203) 479-3000
Primary Contact
Yale New Haven Health Services
Andrew Joseph Esposito, Sr. Reimbursement Analyst
(203) 688-1993
Addresses
Street Address
1 Long Wharf Drive
NEW HAVEN, CT 06511
Billing Address
Yale New Haven Health System
20 York Street
New Haven, CT 06510
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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