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DSH070002L Saint Francis Hospital and Medical Center (Terminated)
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Main Details
Name
Saint Francis Hospital and Medical Center
Subdivision Name
Burgdorf Dental Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070002L
Medicare Provider Number
070002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/31/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/21/2012
Last Recertification Date
8/14/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Saint Francis Hospital and Medical Center
Jennifer S Schneider, SVP and Chief Financial Officer
(860) 714-5360
Primary Contact
Saint Francis Hospital and Medical Center
James 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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