340B Drug Pricing Program Database
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DSH070036L UCONN HEALTH (Active)
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Main Details
Name
UCONN HEALTH
Subdivision Name
UConn Health Musculoskeletal Institute Imaging - Ultrasound Imaging
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070036L
Medicare Provider Number
070036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/19/2021
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
UConn Health
Kevin Chamberlin, Associate Vice President and Chief Pharmacy Officer
(860) 679-2281
Primary Contact
UConn Health
F. Bahar Matusik, Director for 340B Services
(860) 480-9159
Addresses
Street Address
263 Farmington Avenue
UConn Musculoskeletal Institute
1st Floor
Farmington, CT 06030
Billing Address
University of Connecticut Health Center
263 Farmington Avenue
UConn Musculoskeletal Institute
Farmington, CT 06030
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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