340B Drug Pricing Program Database
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DSH220024R HOLYOKE MEDICAL CENTER (Active)
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Main Details
Name
HOLYOKE MEDICAL CENTER
Subdivision Name
HMC ORTHOPEDIC SURGEONS - Orthopedic Center / Holyoke
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220024R
Medicare Provider Number
220024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/25/2020
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Holyoke Medical Center
SPIROS HATIRAS, CEO
(413) 534-2667
Primary Contact
Holyoke Medical Center
Heather Brooks, 340B Operations Manager
(413) 534-2757
Addresses
Street Address
10 HOSPITAL DRIVE
SUITE 203
HOLYOKE, MA 01040-6643
Billing Address
Holyoke Medical Center
575 Beech Street
Holyoke, MA 01040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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