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DSH410007BD RHODE ISLAND HOSPITAL (Approved)
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Main Details
Name
RHODE ISLAND HOSPITAL
Subdivision Name
RIH CPC Psychiatry - Psychiatry
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410007BD
Medicare Provider Number
410007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/22/2025
Last Recertification Date
Contacts
Authorizing Official
Brown University Health
Michael D Dawson, VP Finance
(401) 444-2648
Primary Contact
Brown University Health
Christine Collins, SVP, Pharmacy Periop Chief Pharmacy Officer
(401) 444-4434
Addresses
Street Address
245 Chapman Street
Suite 300
Providence, RI 02903
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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