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DSH210037 MEMORIAL EASTON (Terminated)
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Main Details
Name
MEMORIAL EASTON
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH210037
Medicare Provider Number
210037
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/9/2022
Last Recertification Date
9/7/2023
Termination Date
Termination Reason
1/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
University of Maryland Shore Regional Health
Kenneth Kozel, President and CEO
(410) 822-1000 Ext: 5500
Primary Contact
University of Maryland Shore Regional Health
Catherine e weishaar, Director of pharmacy
(410) 822-1000
Addresses
Street Address
MEMORIAL HOSPITAL AT EASTON
219 SOUTH WASHINGTON STREET, MD 21601
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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