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DSH410007AX RHODE ISLAND HOSPITAL (Active)
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Main Details
Name
RHODE ISLAND HOSPITAL
Subdivision Name
ALLERGY/PULMONARY CTR - PULMONARY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH410007AX
Medicare Provider Number
410007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/7/2020
Participating Start Date
7/1/2020
Participating Approval Date
5/15/2020
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Brown University Health
Michael D Dawson, VP Finance
(401) 444-2648
Primary Contact
Brown University Health
CHRISTINE COLLINS, SVP, Pharmacy & Periop, Chief Pharmacy Officer
(401) 444-4434
Addresses
Street Address
1454 SOUTH COUNTY TRAIL
SUITE 1300
EAST GREENWICH, RI 02818-1627
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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