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DSH070016D Saint Mary's Hospital (Terminated)
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Main Details
Name
Saint Mary's Hospital
Subdivision Name
Outpatient Behavorial Health
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH070016D
Medicare Provider Number
070016
Outpatient Facility Provider Number
070016
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
8/24/2018
Termination Date
Termination Reason
10/1/2019
Site closure
Contacts
Authorizing Official
Saint Mary's Hospital
Chris M Hayes, VP of Finance
(203) 709-6294
Primary Contact
Saint Mary's Hospital
Dean Welti, Interim Manager of Reimbursement
(203) 709-3166
Addresses
Street Address
100 Jefferson Square
Waterbury, CT 06706
Billing Address
Saint Mary's Hospital
56 Franklin Street
Waterbury, CT 06706
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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