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DSH080001AB CHRISTIANA CARE HEALTH SYSTEM (Active)
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Main Details
Name
CHRISTIANA CARE HEALTH SYSTEM
Subdivision Name
Pathology Hematology HGCC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH080001AB
Medicare Provider Number
080001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/20/2022
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
4701 Ogletown Stanton Road
Suite 4200
Newark, DE 19713-2079
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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