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HM01655 UMass Memorial Healthcare (Active)
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Main Details
Name
UMass Memorial Healthcare
Subdivision Name
NEW ENGLAND HEMOPHILIA CENTER AT UMASS MEMORIAL
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM01655
Grant Number
H30MC24048
Additional Details
Current Program Status
Active
Registration Date
3/5/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/5/2009
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Umass Memorial Medical Center
Christopher Riberdy, Senior Director Cancer Services
(508) 713-3963
Primary Contact
UMass Memorial Healthcare
Doreen Brettler, Program Director
(508) 334-6093
Addresses
Street Address
55 Lake Avenue
HI-759B
WORCESTER, MA 01655
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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12/24/09 UPDATED SUBDIV NAME (WAS NEW ENGLAND HEMOPHILIA CENTER AT UMASS HEALTHCARE); 12/15/09 ADDED SUBDIV NAME; 12/15/09 UPDATED ADDR (WAS 55 LAKE AVE NORTHWORCESTER, MA 01655)
03/05/2009
April 2025
April 2025
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