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NEW ENGLAND HOME THERAPIES, INC
DSH220163 UMASS MEMORIAL MEDICAL CENTER
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Covered Entity Details
Entity Name
UMASS MEMORIAL MEDICAL CENTER
Subdivision Name
UNIVERSITY CAMPUS
Type
Disproportionate Share Hospital
340B ID
DSH220163
Entity Address
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Medicare Provider Number
220163
Participating Start Date
10/1/2003
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
NEW ENGLAND HOME THERAPIES, INC
Pharmacy Address
DBA BIOSCRIP INFUSION SERVICES
337 TURNPIKE RD
SOUTHBOROUGH, MA 01772
Pharmacy Comments
Contract Details
Approval Date
10/18/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alice Shakman, Vice President Operations
(774) 443-0540
Contract Pharmacy Representative
Bioscrip
Keyur Mehta, VP Strategic Operations
(703) 401-4717
Signed By Date
10/18/2016
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