340B Drug Pricing Program Database
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DSH070036 UCONN HEALTH (Active)
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Main Details
Name
UCONN HEALTH
Subdivision Name
JOHN DEMPSEY HOSPITAL
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070036
Medicare Provider Number
070036
Additional Details
Current Program Status
Active
Registration Date
3/1/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/9/2009
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
UConn Health
Kevin Chamberlin, Associate Vice President and Chief Pharmacy Officer
(860) 679-2281
Primary Contact
UConn Health
F. Bahar Matusik, Director for 340B Services
(860) 480-9159
Addresses
Street Address
263 FARMINGTON AVENUE
GPS/Patient way-finding: 100 Hospital Drive
FARMINGTON, CT 06032
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/1/09 REINSTATED PREV PART FROM 1/1/00 TO 12/31/02 NOT ELIGIBLE FROM 1/1/03 TO 3/31/09 340B ID CHANGE (WAS DSH06030); 2/13/09- DOC RECD TO CONFIRM ELIG DSH ADJ %
03/09/2009
May 2025
May 2025
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