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DSH070035J The Hospital of Central Connecticut (Active)
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Main Details
Name
The Hospital of Central Connecticut
Subdivision Name
Bristol Wound Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070035J
Medicare Provider Number
070035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/13/2016
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Hartford Healthcare
Joseph Del Mastro, HHC Reg VP Finance Central
(959) 236-3295
Primary Contact
The Hospital of Central Connecticut
Allison Gandini, 340B Program Coordinator
(860) 224-5900 Ext: 6228
Addresses
Street Address
22 Pine Street
Bristol, CT 06010
Billing Address
Hospital of Central Connecticut
PO BOX 5037
ATTN: Accounts Payable
Hartford, CT 06102-5037
Comments
Medicaid Billing
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