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DSH220116D TUFTS MEDICAL CENTER (Active)
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Main Details
Name
TUFTS MEDICAL CENTER
Subdivision Name
TUFTS MEDICAL CENTER, INC - Tufts Medical Center Cancer Center - Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220116D
Medicare Provider Number
220116
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2021
Participating Start Date
1/1/2022
Participating Approval Date
11/5/2021
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Tufts Medical Center
kevin michael bennett, SVP, Finance
(617) 636-2533
Primary Contact
Tufts Medical Center
Joan Marie Calamari, Director of Pharmacy
(617) 877-0552
Addresses
Street Address
41 MONTVALE AVE
FL 3
STONEHAM, MA 02180-2445
Billing Address
Tufts Medical Center
800 Washington Street
Boston, MA 02111
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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