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DSH220019H HARRINGTON MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
HARRINGTON MEMORIAL HOSPITAL
Subdivision Name
Harrington Hospital Outpatient Behavioral Health
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220019H
Medicare Provider Number
220019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/19/2016
Last Recertification Date
8/31/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
Harrington Hospital
THOMAS J. SULLIVAN, Vice President & CFO
(508) 765-8130
Primary Contact
UMass Memorial Health-Harrington
Kristie Reed, Pharmacy Director
(508) 765-3105
Addresses
Street Address
161 West Main Stree
Dudley, MA 01571
Billing Address
100 South Street
Harrington Memorial Hospital
100 South Street
Southbridge, MA 01550
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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