340B Drug Pricing Program Database
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DSH220024Z HOLYOKE MEDICAL CENTER (Active)
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Main Details
Name
HOLYOKE MEDICAL CENTER
Subdivision Name
Partial Hospital Program & Intensive Outpatient Program - PSYCH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220024Z
Medicare Provider Number
220024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/10/2023
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Holyoke Medical Center
SPIROS HATIRAS, CEO
(413) 534-2667
Primary Contact
Holyoke Medical Center
Heather Brooks, 340B Operations Manager
(413) 534-2757
Addresses
Street Address
20 HOSPITAL DRIVE
HOLYOKE, MA 01040
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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