340B Drug Pricing Program Database
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DSH470003BS UNIVERSITY OF VERMONT MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF VERMONT MEDICAL CENTER
Subdivision Name
Outpatient Rehabilitation - Medical Office Building - Fanny Allen Campus
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH470003BS
Medicare Provider Number
470003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/26/2018
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
University of Vermont Medical Center, Inc
Wesley McMillian, Network Vice President of Pharmacy
(802) 847-3546
Primary Contact
UNIVERSITY OF VERMONT MEDICAL CENTER
Minela Beric, Manager, Network 340B & Pharmacy Ops
(802) 542-3455
Addresses
Street Address
792 College Parkway
Fanny Allen Campus, MOB
Suites 101 & 201
Colchester, VT 05446-3052
Billing Address
UNIVERSITY OF VERMONT MEDICAL CENTER
PO Box 1870
111 Colchester Avenue
Burlington, VT 05402
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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