340B Drug Pricing Program Database
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DSH220024T HOLYOKE MEDICAL CENTER (Terminated)
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Main Details
Name
HOLYOKE MEDICAL CENTER
Subdivision Name
HMC CARDIOVASCULAR SPECIALISTS - Cardiovascular Specialists / Chicopee
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220024T
Medicare Provider Number
220024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/25/2020
Last Recertification Date
9/7/2021
Termination Date
Termination Reason
1/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Holyoke Medical Center
SPIROS HATIRAS, CEO
(413) 534-2667
Primary Contact
Holyoke Medical Center
Paul J Barrett, Director of Pharmacy
(413) 534-2757
Addresses
Street Address
1962 Memorial Drive
Chicopee, MA 01020
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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