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UMASS MEMORIAL MEDICAL CENTER
DSH220019 UMass Memorial Health - Harrington Hospital, Inc.
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Covered Entity Details
Entity Name
UMass Memorial Health - Harrington Hospital, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220019
Entity Address
100 SOUTH STREET
SOUTHBRIDGE, MA 01550
Medicare Provider Number
220019
Participating Start Date
7/1/2009
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
UMASS MEMORIAL MEDICAL CENTER
Pharmacy Address
55 LAKE AVE N
ATTN: DEPARTMENT OF PHARMACY
WORCESTER, MA 01655
Pharmacy Comments
Contract Details
Approval Date
7/12/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
THOMAS J. SULLIVAN, Vice President & CFO
(508) 765-8130
Contract Pharmacy Representative
UMass Memorial Medical Center
Alice Shakman, Vice President Operations
(774) 443-0540
Signed By Date
7/12/2018
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