340B Drug Pricing Program Database
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DSH070006J THE STAMFORD HOSPITAL (Active)
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Main Details
Name
THE STAMFORD HOSPITAL
Subdivision Name
Pulmonary -Integrated Care Pavilion - Pulmonary
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070006J
Medicare Provider Number
070006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/8/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/19/2024
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Stamford Health
Ellen Komar, CNO & Sr VP -Patient Services
(203) 276-7401 Ext: 7401
Primary Contact
Stamford Hospital
Prudence Manirakiza, Pharmacy Business Manager
(203) 276-4232 Ext: 4232
Addresses
Street Address
29 Hospital Plaza
Suite 505
Stamford, CT 06902-3602
Billing Address
The Stamford Hospital
1 Hospital Plaza
Stamford, CT 06902
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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