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DSH070035AB The Hospital of Central Connecticut (Terminated)
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Main Details
Name
The Hospital of Central Connecticut
Subdivision Name
Bradley Campus - HOCC BMC EEG
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070035AB
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
4/13/2018
Last Recertification Date
9/6/2021
Termination Date
Termination Reason
7/1/2022
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 Gandini, 340B Program Coordinator
(860) 224-5900 Ext: 6228
Addresses
Street Address
81 Meriden Ave
Southington, CT 06489
Billing Address
The Hospital of Central Connecticut
PO BOX 5037
Hartford, CT 06102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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