340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH470005L RUTLAND REGIONAL MEDICAL CENTER (Terminated)
Print
Main Details
Name
RUTLAND REGIONAL MEDICAL CENTER
Subdivision Name
ENT & Audiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH470005L
Medicare Provider Number
470005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/5/2016
Last Recertification Date
8/31/2020
Termination Date
Termination Reason
1/1/2021
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Rutland Regional Medical Center
Judi K Fox, CFO
(802) 747-1632
Primary Contact
Rutland Regional Medical Center
Jonathan Reynolds, VP Clinical Services
(802) 772-2634
Addresses
Street Address
69 Allen Street
Suites 1, 3, & 4
Rutland, VT 05701
Billing Address
Rutland Regional Medical Center
160 Allen St
Rutland, VT 05701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session