340B Drug Pricing Program Database
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DSH220031P BOSTON MEDICAL CENTER (Active)
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Main Details
Name
BOSTON MEDICAL CENTER
Subdivision Name
BOSTON MEDICAL CENTER - CROSSTOWN - Pediatrics
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220031P
Medicare Provider Number
220031
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/17/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/17/2023
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Boston Medical Center
Alastair Bell, Chief Executive Officer
(617) 638-6718
Primary Contact
Boston Medical Center
Noreen A. Palinkas, Director Pharmacy Compliance
(617) 638-5843
Addresses
Street Address
801 MASSACHUSETTS AVENUE
6TH FLR
BOSTON, MA 02118
Billing Address
Boston Medical Center Health System
1 Boston Medical Center Place
Boston, MA 02118
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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