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DSH410007P RHODE ISLAND HOSPITAL (Active)
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Main Details
Name
RHODE ISLAND HOSPITAL
Subdivision Name
EP Outpatient Dialysis
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410007P
Medicare Provider Number
410007
Outpatient Facility Provider Number
410007
Additional Details
Current Program Status
Active
Registration Date
4/8/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/10/2014
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Brown University Health
Michael D Dawson, VP Finance
(401) 444-2648
Primary Contact
Brown University Health
CHRISTINE COLLINS, SVP, Pharmacy & Periop, Chief Pharmacy Officer
(401) 444-4434
Addresses
Street Address
950 Warren Avenue
Suite 101
East Providence, RI 02914
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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