340B Drug Pricing Program Database
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DSH070025CV HARTFORD HOSPITAL (Active)
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Main Details
Name
HARTFORD HOSPITAL
Subdivision Name
Clinic 90.00 HH SS OPHTHALMOLOGY 101021025
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070025CV
Medicare Provider Number
070025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/15/2020
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
79 Retreat Ave
5th Floor
hartford, CT 06106
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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