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DSH070002W Saint Francis Hospital and Medical Center (Active)
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Main Details
Name
Saint Francis Hospital and Medical Center
Subdivision Name
Glastonbury Infusion Center - Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070002W
Medicare Provider Number
070002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/18/2019
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Trinity Health Of New England Corporation
Antonio Perugino, Regional Chief Financial Officer
(860) 714-5360
Primary Contact
Saint Francis Hospital and Medical Center
James M Harris, Regional Director of Reimbursement
(860) 714-4396
Addresses
Street Address
31 Sycamore Street
Suite 202
Glastonbury, CT 06033-4540
Billing Address
Saint Francis Hospital and Medical Center
114 Woodland Street
Hartford, CT 06105
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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