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DSH070002J Saint Francis Hospital and Medical Center (Active)
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Main Details
Name
Saint Francis Hospital and Medical Center
Subdivision Name
Saint Francis Hospital Medicine Service Burgdorf/Fleet Health Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070002J
Medicare Provider Number
070002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/31/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/21/2012
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Trinity Health Of New England Corporation
Antonio Perugino, Regional Chief Financial Officer
(860) 714-5360
Primary Contact
Saint Francis Hospital and Medical Center
James M Harris, Regional Director of Reimbursement
(860) 714-4396
Addresses
Street Address
131 Coventry Street
Hartford, CT 06112
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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