340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH220177 NANTUCKET COTTAGE HOSPITAL (Terminated)
Print
Main Details
Name
NANTUCKET COTTAGE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220177
Medicare Provider Number
220177
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2017
Participating Start Date
3/15/2022
Participating Approval Date
7/20/2017
Last Recertification Date
9/8/2023
Termination Date
Termination Reason
4/1/2024
Change of covered entity type
Contacts
Authorizing Official
Mass General Brigham
Vincent McDermott, Senior Vice President/CFO
(617) 283-6541
Primary Contact
Nantucket Cottage Hospital
David Small, Director of Pharmacy
(508) 825-8356
Addresses
Street Address
57 PROSPECT STREET
NANTUCKET, MA 02554-2799
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session