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DSH210037D MEMORIAL EASTON (Terminated)
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Main Details
Name
MEMORIAL EASTON
Subdivision Name
University of Maryland Shore Medical Center at Cambridge - Emergency Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH210037D
Medicare Provider Number
210037
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2022
Participating Start Date
10/1/2022
Participating Approval Date
9/14/2022
Last Recertification Date
9/6/2023
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
Arvin Singh, Vice President
(410) 822-1000 Ext: 5508
Addresses
Street Address
715 Cambridge Marketplace Blvd
Cambridge, MD 21613
Billing Address
University of Maryland Shore Medical Center at Easton
219 S Washington Street
Easton, MD 21601
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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