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DSH470003AF UNIVERSITY OF VERMONT MEDICAL CENTER (Terminated)
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Main Details
Name
UNIVERSITY OF VERMONT MEDICAL CENTER
Subdivision Name
Continence Center, FAH MOB
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH470003AF
Medicare Provider Number
470003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/16/2013
Last Recertification Date
8/19/2015
Termination Date
Termination Reason
1/1/2016
Site closure
Contacts
Authorizing Official
University of Vermont Medical Center
Christina Oliver, VP of Clinical Services
(802) 847-2805
Primary Contact
KAREN MCBRIDE, DIRECTOR, PHARMACY SERVICES
(802) 847-3546
Addresses
Street Address
792 College Parkway
Colchester, VT 05446
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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