340B Drug Pricing Program Database
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DSH070035AK The Hospital of Central Connecticut (Active)
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Main Details
Name
The Hospital of Central Connecticut
Subdivision Name
HOCC BMC Med Onc CI
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070035AK
Medicare Provider Number
070035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/8/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/16/2019
Last Recertification Date
8/27/2024
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
81 Meriden Ave
Southington, CT 06489
Billing Address
The Hospital of Central Connecticut
PO BOX 5037
Attn: Accounts Payable
Hartford, CT 06102-5037
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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