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DSH070002Y Saint Francis Hospital and Medical Center (Active)
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Main Details
Name
Saint Francis Hospital and Medical Center
Subdivision Name
Gengras Surgical Clinic - Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070002Y
Medicare Provider Number
070002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/19/2019
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
114 Woodland street
Hartford, CT 06105
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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