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DSH070029 BRISTOL HOSPITAL INC (Active)
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Main Details
Name
BRISTOL HOSPITAL INC
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH070029
Medicare Provider Number
070029
Additional Details
Current Program Status
Active
Registration Date
7/1/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/25/2019
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Bristol Hospital
Kurt Barwis, President
(860) 585-3222
Primary Contact
Bristol Hospital
Timothy Ajayi, CFO
(860) 585-3024
Addresses
Street Address
41 BREWSTER ROAD
BRISTOL, CT 06010
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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