340B Drug Pricing Program Database
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DSH070025CH HARTFORD HOSPITAL (Active)
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Main Details
Name
HARTFORD HOSPITAL
Subdivision Name
HH PHYS MED REHAB VERN 101081006 - 66.00
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070025CH
Medicare Provider Number
070025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/25/2020
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Hartford Healthcare
Sean Michael Curtin, Vice President, Finance, Hartford Region
(860) 545-0585
Primary Contact
Hartford Hospital
Eric Arlia, Director of Pharmacy
(860) 972-4165
Addresses
Street Address
35 Talcotville Rd
Suite 5
Vernon, CT 06066
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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