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DSH220024A HOLYOKE MEDICAL CENTER (Active)
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Main Details
Name
HOLYOKE MEDICAL CENTER
Subdivision Name
HMC WOUND CARE CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220024A
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
18 HOSPITAL DRIVE
HOLYOKE, MA 01040-6604
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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