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DSH410006 NEWPORT HOSPITAL (Terminated)
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Main Details
Name
NEWPORT HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410006
Medicare Provider Number
410006
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/8/2019
Last Recertification Date
Termination Date
Termination Reason
7/1/2020
DSH percentage below statutory minimum
Contacts
Authorizing Official
Rhode Island Hospital
Mary Wakefield, Senior VP and CFO
(401) 444-7093
Primary Contact
Brown University Health
CHRISTINE COLLINS, SVP, Pharmacy & Periop, Chief Pharmacy Officer
(401) 444-4434
Addresses
Street Address
11 FRIENDSHIP STREET
NEWPORT, RI 02840
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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