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DSH470005A RUTLAND REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
RUTLAND REGIONAL MEDICAL CENTER
Subdivision Name
Rutland Heart Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH470005A
Medicare Provider Number
470005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/14/2016
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Rutland Regional Medical Center
Jennifer Bertrand, CFO
(802) 747-1601
Primary Contact
Rutland Regional Medical Center
Jonathan Reynolds, VP Clinical Services
(802) 772-2634
Addresses
Street Address
12 Commons St
Rutland, VT 05701
Billing Address
Rutland Regional Medical Center
160 Allen St
Rutland, VT 05701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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