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DSH220163FA UMASS MEMORIAL MEDICAL CENTER (Active)
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Main Details
Name
UMASS MEMORIAL MEDICAL CENTER
Subdivision Name
Tri River Rheumatology - Rheumatology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220163FA
Medicare Provider Number
220163
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/21/2025
Last Recertification Date
Contacts
Authorizing Official
UMass Memorial Medical Center
Alice Shakman, Vice President Operations
(774) 443-0540
Primary Contact
UMass Memorial Medical Center
Meetali Desai, 340B Compliance Specialist
(774) 443-2852
Addresses
Street Address
281 East Hartford Ave
Uxbridge, MA 01569
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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