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DSH470003AB UNIVERSITY OF VERMONT MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF VERMONT MEDICAL CENTER
Subdivision Name
Plastic, Reconstructive and Cosmetic Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH470003AB
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
8/28/2024
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
354 Mountain View Drive
Suite 103
Colchester, VT 05446-5923
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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