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DSH330395E EPISCOPAL HEALTH SERVICES INC (Active)
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Main Details
Name
EPISCOPAL HEALTH SERVICES INC
Subdivision Name
Margaret O. Carpenter Women's Health Center - Women's Health
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330395E
Medicare Provider Number
330395
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2023
Participating Start Date
1/1/2024
Participating Approval Date
12/11/2023
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
St. John's Episcopal
Donald Morrish, Chief Executive Officer
(718) 869-7321
Primary Contact
St.John's Episcopal
Karen Muir, Chief Pharmacy Officer
(718) 869-7180
Addresses
Street Address
105-20 Rockaway Beach
Queens, NY 11694
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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