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DSH070035Q The Hospital of Central Connecticut (Terminated)
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Main Details
Name
The Hospital of Central Connecticut
Subdivision Name
Medical Oncology Clinic - Bristol
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070035Q
Medicare Provider Number
070035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/25/2017
Last Recertification Date
11/17/2017
Termination Date
Termination Reason
7/1/2018
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Hartford Healthcare
Sean Michael Curtin, Vice President, Finance, Hartford Region
(860) 545-0585
Primary Contact
The Hospital of Central Connecticut
Allison Amenta, Financial Programs Tech
(860) 224-5900 Ext: 6228
Addresses
Street Address
22 PINE STREET
BRISTOL, CT 06010
Billing Address
HOSPITAL OF CENTRAL CONNECTICUT
PO BOX 5037
ATTN: Accounts Payable
Hartford, CT 06102-5037
Comments
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