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DSH470003R UNIVERSITY OF VERMONT MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF VERMONT MEDICAL CENTER
Subdivision Name
Orthopedics and Rehabilitation Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH470003R
Medicare Provider Number
470003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/3/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/16/2013
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
University of Vermont Medical Center, Inc
Wesley McMillian, Network Vice President of Pharmacy
(802) 847-3546
Primary Contact
UNIVERSITY OF VERMONT MEDICAL CENTER
Minela Beric, Manager, Network 340B & Pharmacy Ops
(802) 542-3455
Addresses
Street Address
192 Tilley Drive
South Burlington, VT 05403-4440
Billing Address
UNIVERSITY OF VERMONT MEDICAL CENTER
PO Box 1870
111 Colchester Avenue
Burlington, VT 05402
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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