340B Drug Pricing Program Database
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DSH410009 KENT COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
KENT COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410009
Medicare Provider Number
410009
Additional Details
Current Program Status
Active
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/27/2015
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Kent County Hospital
James Burke, VP Finance
(401) 737-7010 Ext: 31154
Primary Contact
Care New England
Joshua Alonzo, Director of Specialty Pharmacy and 340B
(401) 921-7525
Addresses
Street Address
455 TOLL GATE ROAD
WARWICK, RI 02886
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/27/15 participating 4/1/09 thru 6/30/12, not participating 7/1/12 thru 6/30/15, reinstated based on registration submitted in April 2015
05/27/2015
3/1/10 DOC RECD TO CONFIRM ELIG DSH ADJ% - 2/27/09 DOC RECD TO CONFIRM ELIG DSH ADJ%
03/31/2010
June 2025
June 2025
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