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DSH410010D WOMEN & INFANTS HOSPITAL OF RHODE ISLAND (Active)
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Main Details
Name
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
Subdivision Name
Obstetric Gynecology Care Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410010D
Medicare Provider Number
410010
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
2/29/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/28/2012
Last Recertification Date
8/13/2024
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
2 Dudley Street
Providence, RI 02905
Billing Address
Women & Infants Hospital
101 Dudley St
Providence, RI 02905
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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