340B Drug Pricing Program Database
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DSH220095K HEYWOOD HOSPITAL (Terminated)
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Main Details
Name
HEYWOOD HOSPITAL
Subdivision Name
HEYWOOD SURGICAL ASSOCIATES
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220095K
Medicare Provider Number
220095
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2021
Participating Start Date
1/1/2022
Participating Approval Date
11/1/2021
Last Recertification Date
8/21/2023
Termination Date
Termination Reason
4/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Heywood Hospital
Tom Sullivan, CFO
(978) 630-6157
Primary Contact
Heywood Healthcare
Lori Doucette, 340B Program Director
(978) 630-6161 Ext: 2076298672
Addresses
Street Address
250 Green Street
Suite 208
Gardner, MA 01440
Billing Address
Heywood Hospital
242 Green Street
Gardner, MA 01440
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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