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DSH070011 CHARLOTTE HUNGERFORD HOSPITAL (Active)
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Main Details
Name
CHARLOTTE HUNGERFORD HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070011
Medicare Provider Number
070011
Additional Details
Current Program Status
Active
Registration Date
1/6/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/15/2025
Last Recertification Date
Contacts
Authorizing Official
Hartford HealthCare
Cheryl Considine, Director Finance, NW Region
(860) 496-6740
Primary Contact
Hartford HealthCare
Elyse Anna Lanteigne, 340B Program Manager
(860) 972-5030
Addresses
Street Address
540 LITCHFIELD STREET
TORRINGTON, CT 06790-0988
Billing Address
Charlotte Hungerford Hospital
PO BOX 5037
Attn:Accounts Payable
Hartford, CT 06102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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