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DSH410007D RHODE ISLAND HOSPITAL (Terminated)
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Main Details
Name
RHODE ISLAND HOSPITAL
Subdivision Name
Hallett Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410007D
Medicare Provider Number
410007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/20/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
8/22/2016
Termination Date
Termination Reason
1/1/2018
Site closure
Contacts
Authorizing Official
Rhode Island Hospital
Mary Wakefield, Senior VP and CFO
(401) 444-7093
Primary Contact
Rhode Island Hospital
Mary Wakefield, Senior VP and CFO
(401) 444-7093
Addresses
Street Address
900 Warren Avenue
East Providence, RI 02914
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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