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DSH220024G HOLYOKE MEDICAL CENTER (Active)
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Main Details
Name
HOLYOKE MEDICAL CENTER
Subdivision Name
HMC Urology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220024G
Medicare Provider Number
220024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/11/2017
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
10 HOSPITAL DRIVE
SUITE 204
HOLYOKE, MA 01040
Billing Address
Holyoke Medical Center
575 Beech Street
Holyoke, MA 01040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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