340B Drug Pricing Program Database
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DSH310039R RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION (Active)
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Main Details
Name
RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION
Subdivision Name
MRI
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310039R
Medicare Provider Number
310039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/22/2022
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Raritan Bay Medical Center
Patricia Carroll, President
(732) 324-5000
Primary Contact
Hackensack Meridian Health
Sheba Saggu, 340B Program Manager
(732) 324-4909
Addresses
Street Address
Two Hospital Plaza
Old Bridge, NJ 08857
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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