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DSH070035T The Hospital of Central Connecticut (Terminated)
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Main Details
Name
The Hospital of Central Connecticut
Subdivision Name
COUNSELING CENTER - Victims Services Program/Hispanic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070035T
Medicare Provider Number
070035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/11/2018
Last Recertification Date
8/27/2024
Termination Date
Termination Reason
1/1/2025
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Hartford Healthcare
Joseph Del Mastro, HHC Reg VP Finance Central
(959) 236-3295
Primary Contact
The Hospital of Central Connecticut
Allison Gandini, 340B Program Coordinator
(860) 224-5900 Ext: 6228
Addresses
Street Address
73 Cedar Street
New Britain, CT 06050
Billing Address
The Hospital of Central Connecticut
PO BOX 5037
Accounts Payable
Hartford, CT 06102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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