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DSH220066 MERCY MEDICAL CENTER (Active)
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Main Details
Name
MERCY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220066
Medicare Provider Number
220066
Additional Details
Current Program Status
Active
Registration Date
7/1/2004
Participating Start Date
7/1/2004
Participating Approval Date
6/9/2004
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Mercy Medical Center
Robert Roose, Chief Administrative Officer
(413) 748-9302
Primary Contact
Mercy Medical Center
Richard Wojtowicz, Director of Pharmacy
(413) 748-9495
Addresses
Street Address
271 CAREW STREET
SPRINGFIELD, MA 01104
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/1/09 ADDED SHIPPING ADDRESS; 3/31/06 - REPLACES DSH01102
09/01/2009
May 2025
May 2025
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