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DSH070035AS The Hospital of Central Connecticut (Active)
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Main Details
Name
The Hospital of Central Connecticut
Subdivision Name
HOCC INFUSION TOR - Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070035AS
Medicare Provider Number
070035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/6/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/15/2021
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Hartford Healthcare
Joseph Del Mastro, HHC Reg VP Finance Central
(959) 236-3295
Primary Contact
The Hospital of Central Connecticut
Allison Gandini, 340B Program Coordinator
(860) 224-5900 Ext: 6228
Addresses
Street Address
540 Litchfield Street
Torrington, CT 06790
Billing Address
Hartford Healthcare
PO Box 5037
Attn: Accounts Payable
Hartford, CT 06102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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