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UMASS MEMORIAL MEDICAL CENTER, INC.
DSH220001 HealthAlliance-Clinton Hospital
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Covered Entity Details
Entity Name
HealthAlliance-Clinton Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220001
Entity Address
60 HOSPITAL ROAD
LEOMINSTER, MA 01453
Medicare Provider Number
220001
Participating Start Date
10/1/2004
Last Recertification Date
8/27/2024
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
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven McCue, Chief Financial Officer
(508) 486-5804
Contract Pharmacy Representative
UMass Memorial Medical Center
Alice Shakman, Vice President Operations
(774) 443-0540
Signed By Date
1/15/2021
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