340B Drug Pricing Program Database
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DSH070036Y UCONN HEALTH (Active)
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Main Details
Name
UCONN HEALTH
Subdivision Name
Diagnostic Radiology - OPPV XRAY IMAGING
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070036Y
Medicare Provider Number
070036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/3/2025
Last Recertification Date
Contacts
Authorizing Official
UConn Health
Kevin Chamberlin, Associate Vice President and Chief Pharmacy Officer
(860) 679-2281
Primary Contact
UConn Health
F. Bahar Matusik, Director for 340B Services
(860) 480-9159
Addresses
Street Address
263 Farmington Avenue
Outpatient Pavilion, 3rd Floor
Farmington, CT 06032
Billing Address
University of Connecticut Health Center
Outpatient Pavilion, X-RAY Imaging
263 Farmington Avenue
Farmington, CT 06030
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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