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DSH220095A HENRY HEYWOOD MEMORIAL HOSPITAL (Active)
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Main Details
Name
HENRY HEYWOOD MEMORIAL HOSPITAL
Subdivision Name
WINCHENDON HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220095A
Medicare Provider Number
220095
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/12/2025
Last Recertification Date
Contacts
Authorizing Official
Heywood Healthcare
John Bujak, Chief Financial Officer
(978) 630-6202
Primary Contact
Heywood Healthcare
Lori Doucette, 340B Program Director
(978) 630-6161 Ext: 2076298672
Addresses
Street Address
55 HOSPITAL DR
WINCHENDON, MA 01475
Billing Address
Heywood Hospital
242 Green St.
Gardner, MA 01440
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2021, terminated 4/1/2024. Reinstated 4/1/2025.
02/12/2025
Participated starting 7/1/2013, terminated 10/1/2020. Reinstated 10/1/2021.
07/27/2021
June 2025
June 2025
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