340B Drug Pricing Program Database
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RRC070028-00 ST. VINCENTS MEDICAL CENTER (Terminated)
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Main Details
Name
ST. VINCENTS MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC070028-00
Medicare Provider Number
070028
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2021
Participating Start Date
10/8/2021
Participating Approval Date
10/7/2021
Last Recertification Date
9/19/2022
Termination Date
Termination Reason
1/13/2023
Change of hospital entity type
Contacts
Authorizing Official
SVMC Holdings, Inc.
Christopher Given, VP, Finance
(475) 210-6193
Primary Contact
Hartford Healthcare
Elyse A Sweeney, System 340B Program Manager
(860) 972-5030
Addresses
Street Address
2800 MAIN STREET
BRIDGEPORT, CT 06606-4201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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