340B Drug Pricing Program Database
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DSH410009A KENT COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
KENT COUNTY MEMORIAL HOSPITAL
Subdivision Name
Clinic / Wound Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410009A
Medicare Provider Number
410009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/28/2016
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Kent County Hospital
James Burke, VP Finance
(401) 737-7010 Ext: 31154
Primary Contact
Care New England
Joshua Alonzo, Director of Specialty Pharmacy and 340B
(401) 921-7525
Addresses
Street Address
15 Health Ln
Building 2-D
Warwick, RI 02886
Billing Address
Kent County Memorial Hospital
455 Toll Gate Road
Warwick, RI 02886
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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