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DSH070025CR HARTFORD HOSPITAL (Active)
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Main Details
Name
HARTFORD HOSPITAL
Subdivision Name
Oncology-Infusion _Manchester 55.02 HH GYNONC MANCH 101119004
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070025CR
Medicare Provider Number
070025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/5/2020
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Hartford Healthcare
Sean Michael Curtin, Vice President, Finance, Hartford Region
(860) 545-0585
Primary Contact
Hartford Hospital
Eric Arlia, Director of Pharmacy
(860) 972-4165
Addresses
Street Address
376 Tolland Turnpike
Suite 201
Manchester, CT 06042
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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