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DSH220163H UMASS MEMORIAL MEDICAL CENTER (Active)
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Main Details
Name
UMASS MEMORIAL MEDICAL CENTER
Subdivision Name
Hahnemann Family Health Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220163H
Medicare Provider Number
220163
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/15/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/30/2012
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
UMass Memorial Medical Center
Alice Shakman, Vice President Operations
(774) 443-0540
Primary Contact
UMass Memorial Medical Center
Meetali Desai, 340B Compliance Specialist
(774) 443-2852
Addresses
Street Address
279 Lincoln Street
Worcester, MA 01605
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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