340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH220163A UMASS MEMORIAL MEDICAL CENTER (Active)
Print
Main Details
Name
UMASS MEMORIAL MEDICAL CENTER
Subdivision Name
MEMORIAL CAMPUS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220163A
Medicare Provider Number
220163
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/2/2007
Participating Start Date
10/1/2003
Participating Approval Date
3/2/2007
Last Recertification Date
8/13/2024
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
119 BELMONT STREET
WORCESTER, MA 01605
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
3/12/12 add medicaid/NPI INfo
03/02/2007
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session