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DSH070025BP HARTFORD HOSPITAL (Active)
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Main Details
Name
HARTFORD HOSPITAL
Subdivision Name
West Hartford Surgery Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070025BP
Medicare Provider Number
070025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/8/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/26/2016
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Hartford Healthcare
Sean Michael Curtin, Vice President, Finance, Hartford Region
(860) 545-0585
Primary Contact
Hartford Hospital
Eric Arlia, Director of Pharmacy
(860) 972-4165
Addresses
Street Address
65 Memorial Road
Suite 500
West Hartford, CT 06107
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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