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DSH070016E Saint Mary's Hospital (Active)
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Main Details
Name
Saint Mary's Hospital
Subdivision Name
Chase Oncology Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH070016E
Medicare Provider Number
070016
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/9/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/3/2015
Last Recertification Date
8/19/2024
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
1075 Chase Pkwy
Saint Mary's Hospital Oncology Center
STE A
Waterbury, CT 06708-2948
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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