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DSH070002Z Saint Francis Hospital and Medical Center (Active)
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Main Details
Name
Saint Francis Hospital and Medical Center
Subdivision Name
Center for Diabetes and Metabolic Care - Diabetes and Endocrinology Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070002Z
Medicare Provider Number
070002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/24/2020
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Trinity Health Of New England Corporation
Antonio Perugino, Regional Chief Financial Officer
(860) 714-5360
Primary Contact
Saint Francis Hospital and Medical Center
James M Harris, Regional Director of Reimbursement
(860) 714-4396
Addresses
Street Address
1075 Asylum Avenue
Hartford, CT 06105
Billing Address
Saint Francis Hospital Medical Center
114 Woodland Street
Hartford, CT 06105
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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