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UMASS MEMORIAL MEDICAL CENTER, INC.
DSH410009 KENT COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
KENT COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH410009
Entity Address
455 TOLL GATE ROAD
WARWICK, RI 02886
Medicare Provider Number
410009
Participating Start Date
7/1/2015
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
UMASS MEMORIAL MEDICAL CENTER, INC.
Pharmacy Address
UMASS MEMORIAL MEDICAL CENTER SPECIALTY
55 LAKE AVE N
ACC BUILDING - 1ST FLOOR - SUITE AC1.033
WORCESTER, MA 01655-0002
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James Burke, VP Finance
(401) 737-7010 Ext: 31154
Contract Pharmacy Representative
UMass Memorial Medical Center
Meetali Desai, 340B Compliance Specialist
(774) 443-2852
Signed By Date
10/15/2019
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