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DSH410001 MEMORIAL HOSPITAL OF RHODE ISLAND (Terminated)
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Main Details
Name
MEMORIAL HOSPITAL OF RHODE ISLAND
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410001
Medicare Provider Number
410001
Additional Details
Current Program Status
Terminated
Registration Date
4/21/2008
Participating Start Date
7/1/2004
Participating Approval Date
4/21/2008
Last Recertification Date
11/15/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Kent County Hospital
James Burke, VP Finance
(401) 737-7010 Ext: 31154
Primary Contact
Care New England Health System
Leslie A Pires, Director of Specialty Pharmacy and 340B
(401) 921-7525
Addresses
Street Address
111 BREWSTER ST
PAWTUCKET, RI 02860
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/11/06 - EDIT ADDRESS (WAS MAIN HOSP 111 BREWSTER, RX PROSPECT ST); 12/29/06 - CORRECTED ENTITY ADDR AND ADDED SHIP TO ADDR
05/11/2010
April 2025
April 2025
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