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DSH220116B TUFTS MEDICAL CENTER (Active)
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Main Details
Name
TUFTS MEDICAL CENTER
Subdivision Name
Kidney and Blood Pressure Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220116B
Medicare Provider Number
220116
Outpatient Facility Provider Number
220116
Additional Details
Current Program Status
Active
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/8/2014
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Tufts Medical Center
kevin michael bennett, SVP, Finance
(617) 636-2533
Primary Contact
Tufts Medical Center
Joan Marie Calamari, Director of Pharmacy
(617) 877-0552
Addresses
Street Address
35 Kneeland Street
4th Floor
BOSTON, MA 02111-1526
Billing Address
Tufts Medical Center
800 Washington Street
Box #391
Boston, MA 02111-1526
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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