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DSH070028 ST. VINCENTS MEDICAL CENTER (Active)
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Main Details
Name
ST. VINCENTS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH070028
Medicare Provider Number
070028
Additional Details
Current Program Status
Active
Registration Date
1/6/2023
Participating Start Date
1/13/2023
Participating Approval Date
1/13/2023
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
SVMC Holdings, Inc.
Christopher Given, VP, Finance
(475) 210-6193
Primary Contact
Hartford HealthCare
Elyse Anna Lanteigne, 340B Program Manager
(860) 972-5030
Addresses
Street Address
2800 MAIN STREET
BRIDGEPORT, CT 06606-4201
Billing Address
St. Vincent's Medical Center
PO BOX 5037
Attn:Accounts Payable
Hartford, CT 06102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating starting 7/1/2020; Terminated 7/1/2021; Reinstatement effective date 1/13/2023
01/13/2023
Participating starting 7/1/202; Terminated 7/1/2021; Reinstated 4/1/2023.
01/12/2023
April 2025
April 2025
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