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DSH070022ND YALE NEW HAVEN HOSPITAL (Approved)
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Main Details
Name
YALE NEW HAVEN HOSPITAL
Subdivision Name
YNH SMILOW TOBACCO TRUMBULL PARK - Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070022ND
Medicare Provider Number
070022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/8/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/23/2025
Last Recertification Date
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
5520 PARK AVENUE
East Pavilion - First Level
TRUMBULL, CT 06611
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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Start Date - 10/1/2021 Termination Date - 10/1/2022 Reinstatement Date - 7/1/2025
04/23/2025
April 2025
April 2025
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