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DSH070022KH YALE NEW HAVEN HOSPITAL (Terminated)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
YNH WINCHESTER CHEST CLINIC DANA 2 - Pulmonary Disease
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022KH
Medicare Provider Number
070022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2021
Participating Start Date
7/1/2021
Participating Approval Date
5/3/2021
Last Recertification Date
9/10/2021
Termination Date
Termination Reason
10/1/2021
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Yale New Haven Health System
Mary G Messina, Director, Regulatory Reimbursement YNHHS
(203) 688-8543
Primary Contact
Yale New Haven Health Services
Andrew Joseph Esposito, Sr. Reimbursement Analyst
(203) 688-1993
Addresses
Street Address
789 Howard Avenue
Dana 2
NEW HAVEN, CT 06510
Billing Address
Yale New Haven Health System
20 York Street
New Haven, CT 06510
Comments
Medicaid Billing
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Contract Pharmacies
Parent/Child
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