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DSH070003 Day Kimball Hospital (Active)
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Main Details
Name
Day Kimball Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH070003
Medicare Provider Number
070003
Additional Details
Current Program Status
Active
Registration Date
4/5/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/13/2013
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Day Kimball Hospital
Paul A. Beaudoin, Chief Financial Officer
(860) 928-6541 Ext: 2113
Primary Contact
Day Kimball Hospital
Robert Viens, Director of Pharmacy
(860) 928-6541 Ext: 2597
Addresses
Street Address
320 Pomfret Street
Putnam, CT 06260-1869
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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