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DSH220095G HENRY HEYWOOD MEMORIAL HOSPITAL (Active)
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Main Details
Name
HENRY HEYWOOD MEMORIAL HOSPITAL
Subdivision Name
Heywood Health Center for Women
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220095G
Medicare Provider Number
220095
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/12/2025
Last Recertification Date
Contacts
Authorizing Official
Heywood Healthcare
John Bujak, Chief Financial Officer
(978) 630-6202
Primary Contact
Heywood Healthcare
Lori Doucette, 340B Program Director
(978) 630-6161 Ext: 2076298672
Addresses
Street Address
250 GREEN ST
STE 107
GARDNER, MA 01440-1377
Billing Address
HENRY HEYWOOD MEMORIAL HOSPITAL
242 GREEN ST
GARDNER, MA 01440
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2019, terminated 4/1/2024. Reinstated 4/1/2025.
02/12/2025
June 2025
June 2025
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