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DSH070035AU The Hospital of Central Connecticut (ToBeTerminated)
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Main Details
Name
The Hospital of Central Connecticut
Subdivision Name
HOCC BMC Infusion CVDM - Infusion
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070035AU
Medicare Provider Number
070035
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/22/2024
Last Recertification Date
8/27/2024
Termination Date
Termination Reason
7/1/2025
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Hartford Healthcare
Joseph Del Mastro, HHC Reg VP Finance Central
(959) 236-3295
Primary Contact
The Hospital of Central Connecticut
Allison Gandini, 340B Program Coordinator
(860) 224-5900 Ext: 6228
Addresses
Street Address
81 Meriden Ave
Southington, CT 06489
Billing Address
The Hospital of Central Connecticut
PO BOX 5037
Attn: Accounts Payable
Hartford, CT 06102-5037
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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