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DSH310032K Inspira Medical Centers, INC. (Terminated)
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Main Details
Name
Inspira Medical Centers, INC.
Subdivision Name
Inspira Health Cardiovascular Diagnostic Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310032K
Medicare Provider Number
310032
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/6/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/12/2023
Last Recertification Date
8/16/2024
Termination Date
Termination Reason
10/1/2024
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Inspira Health
William Pelino, SVP FINANCE & CFO
(856) 641-8000 Ext: 16605
Primary Contact
Inspira Health Network
Sabrina Marie Romean, Director of Pharmacy
(856) 641-8000 Ext: 17556
Addresses
Street Address
150 N. Almonesson Road, Suite 105
Suite C
Deptford, NJ 08096
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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