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RRC070034-02 NORWALK HOSPITAL (Terminated)
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Main Details
Name
NORWALK HOSPITAL
Subdivision Name
CROSS ST RADIOLOGY - Radiology
Type
Rural Referral Center
Rural
Yes
340B ID
RRC070034-02
Medicare Provider Number
070034
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/31/2020
Last Recertification Date
8/24/2022
Termination Date
Termination Reason
10/1/2022
Site closure
Contacts
Authorizing Official
Norwalk Hospital
Peter R Cordeau, President Norwalk Hospital
(203) 852-2330
Primary Contact
Norwalk Hospital
Keith Shuster, Director of Pharmacy
(203) 852-2382
Addresses
Street Address
40 CROSS ST
NORWALK, CT 06851-4647
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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