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DSH220065 BAYSTATE NOBLE HOSPITAL (Terminated)
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Main Details
Name
BAYSTATE NOBLE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220065
Medicare Provider Number
220065
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/23/2019
Last Recertification Date
8/16/2024
Termination Date
Termination Reason
4/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Baystate Health
Raymond P McCarthy, SVP, Chief Financial Officer & Treasurer
(413) 794-3290
Primary Contact
Baystate Health
Nancy Cruz, Pharmacy Compliance Manager
(413) 794-8282
Addresses
Street Address
115 WEST SILVER STREET
WESTFIELD, MA 01086
Billing Address
Baystate Noble Hospital
115 West Silver Street
Westfield, MA 01085
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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