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DSH070016 Saint Mary's Hospital (Active)
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Main Details
Name
Saint Mary's Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH070016
Medicare Provider Number
070016
Additional Details
Current Program Status
Active
Registration Date
7/10/2013
Participating Start Date
4/1/2014
Participating Approval Date
9/13/2013
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Trinity Health Of New England Corporation
Antonio Perugino, Regional Chief Financial Officer
(860) 714-5360
Primary Contact
Saint Francis Hospital and Medical Center
James M Harris, Regional Director of Reimbursement
(860) 714-4396
Addresses
Street Address
56 Franklin Street
Waterbury, CT 06706
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/13/14- CE reinstated starting 04/01/14, CE deferred participation start date;11/19/13 entity originally registered for a 10/1/13 start but decided it was not ready to be in compliance so termination date was set to 10/1/13, new on-line registration was submitted in October 2013 and information from it was used to update this record;
03/14/2014
11/19/13 entity originally registered for a 10/1/13 start but decided it was not ready to be in compliance so termination date was set to 10/1/13, new on-line registration was submitted in October 2013 and information from it was used to update this record;
11/19/2013
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