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DSH220024B HOLYOKE MEDICAL CENTER (Active)
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Main Details
Name
HOLYOKE MEDICAL CENTER
Subdivision Name
HMC GENERAL SURGEONS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220024B
Medicare Provider Number
220024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/2/2016
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Holyoke Medical Center
SPIROS HATIRAS, CEO
(413) 534-2667
Primary Contact
Holyoke Medical Center
Heather Brooks, 340B Operations Manager
(413) 534-2757
Addresses
Street Address
11 HOSPITAL DRIVE, 3RD FLOOR
HOLYOKE, MA 01040-6603
Billing Address
Holyoke Medical Center
575 Beech St
Holyoke, MA 01040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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