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DSH220024F HOLYOKE MEDICAL CENTER (Terminated)
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Main Details
Name
HOLYOKE MEDICAL CENTER
Subdivision Name
HMC RHEUMATOLOGY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220024F
Medicare Provider Number
220024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/2/2016
Last Recertification Date
8/27/2019
Termination Date
Termination Reason
7/1/2020
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Holyoke Medical Center
SPIROS HATIRAS, CEO
(413) 534-2667
Primary Contact
Holyoke Medical Center
Paul J Barrett, Director of Pharmacy
(413) 534-2757
Addresses
Street Address
575 Beech Street
HOLYOKE, MA 01040-6606
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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