340B Drug Pricing Program Database
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DSH070010D BRIDGEPORT HOSPITAL (Active)
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Main Details
Name
BRIDGEPORT HOSPITAL
Subdivision Name
0007BH RADIATION ONCOLOGY TRUMBULL
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070010D
Medicare Provider Number
070010
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/22/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/26/2013
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Yale New Haven Health Services
Leeann Miller, Chief Pharmacy Officer
(203) 479-3000
Primary Contact
Yale New Haven Health Services
Andrew Joseph Esposito, Sr. Reimbursement Analyst
(203) 688-1993
Addresses
Street Address
5520 Park Ave
Trumbull, CT 06611
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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