340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH070025CW HARTFORD HOSPITAL (Terminated)
Print
Main Details
Name
HARTFORD HOSPITAL
Subdivision Name
EMG/Physiatry 66.01 HH NEUROLOGY SPORTS32 101016219
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070025CW
Medicare Provider Number
070025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/15/2020
Last Recertification Date
8/30/2021
Termination Date
Termination Reason
7/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Hartford Hospital
David Fichandler, Senior Director, Clinical Operations
(860) 972-2450
Primary Contact
Hartford Hospital
Eric Arlia, Director of Pharmacy
(860) 972-4165
Addresses
Street Address
32 Seymour St
1st floor
Hartford, CT 06106
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session