340B Drug Pricing Program Database
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DSH070010N BRIDGEPORT HOSPITAL (Active)
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Main Details
Name
BRIDGEPORT HOSPITAL
Subdivision Name
0200BH PAMC PERIOPERATIVE SVCS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070010N
Medicare Provider Number
070010
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/21/2017
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Yale New Haven Health Services
Leeann Miller, Chief Pharmacy Officer
(203) 479-3000
Primary Contact
Yale New Haven Health Services
Andrew Joseph Esposito, Sr. Reimbursement Analyst
(203) 688-1993
Addresses
Street Address
5520 Park Avenue
Trumbull, CT 06611
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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