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DSH410010 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND (Active)
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Main Details
Name
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410010
Medicare Provider Number
410010
Additional Details
Current Program Status
Active
Registration Date
7/10/2008
Participating Start Date
10/1/2004
Participating Approval Date
7/10/2008
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Women & Infants Hospital of Rhode Island
Thomas P Ricci, VP Finance
(401) 430-1286
Primary Contact
Care New England
Joshua Alonzo, Director of Specialty Pharmacy and 340B
(401) 921-7525
Addresses
Street Address
101 DUDLEY ST.
PROVIDENCE, RI 02905
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/6/12 ADDED BILL ADD AND SHIP ADD
04/06/2012
June 2025
June 2025
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