340B Drug Pricing Program Database
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DSH220095R HENRY HEYWOOD MEMORIAL HOSPITAL (Active)
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Main Details
Name
HENRY HEYWOOD MEMORIAL HOSPITAL
Subdivision Name
Encompass Primary Care - Primary Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220095R
Medicare Provider Number
220095
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/12/2025
Last Recertification Date
Contacts
Authorizing Official
Heywood Healthcare
John Bujak, Chief Financial Officer
(978) 630-6202
Primary Contact
Heywood Healthcare
Lori Doucette, 340B Program Director
(978) 630-6161 Ext: 2076298672
Addresses
Street Address
250 Green Street
Suite 208
GARDNER, MA 01440-2927
Billing Address
Henry Heywood Memorial Hospital
242 Green Street
Gardner, MA 01440
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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