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DSH220033CJ BEVERLY HOSPITAL (Active)
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Main Details
Name
BEVERLY HOSPITAL
Subdivision Name
Addison Gilbert Hospital - Electrocardiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220033CJ
Medicare Provider Number
220033
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/4/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/20/2023
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Beverly Hospital
Gregory Beaumier, CFO - Beverly Hospital
(978) 816-2587
Primary Contact
BILH
Jennifer Rossi, 340B Director of Compliance and Advocacy
(207) 266-9127
Addresses
Street Address
Addison Gilbert Hospital
298 Washington Street
Gloucester, MA 01930
Billing Address
Beverly Hospital
85 Herrick Street
Beverly, MA 01915
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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