340B Drug Pricing Program Database


DSH200009 MAINEHEALTH MAINE MEDICAL CENTER (Active) - information as of 4/25/2025 9:20:03 PM

Main Details
MAINEHEALTH MAINE MEDICAL CENTER
Disproportionate Share Hospital
No
DSH200009
200009


Additional Details
Active
6/13/2011
7/1/2011
6/17/2011
8/19/2024

Contacts

MaineHealth
Chris Coon, Southern Region Vice President, Finance
(207) 662-6213

MaineHealth
BRIAN MARDEN, Chief Pharmacy Officer
(207) 661-3057

Addresses

22 BRAMHALL STREET
PORTLAND, ME 04102

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
ME 1760436216,1508897059
Shipping Addresses

The Pharmacy at Maine Medical Center
22 Bramhall St.
Portland, ME 04102

Maine Medical Center Clinic Medication Stock Preparation Area
340 County Rd
Suite 1A
Westbrook, ME 04092

MaineHealth Pharmacy Retail Maine Medical Center Biddeford
1 Medical Center Drive
Biddeford, ME 04005

MaineHealth Maine Medical Center Biddeford
1 Medical Center Drive
Biddeford, ME 04005
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/15/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/15/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/15/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624101/15/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/15/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/15/201904/01/2019  04/01/2019
Contract DetailADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280907/17/201710/01/2017  10/01/2017
Contract DetailAPOTHECARY BY DESIGN ACQUISITION CO LLCDBA:APOTHECARY BY DESIGN 141 PREBLE STREET
PORTLANDME0410110/09/201501/01/2016 01/08/201801/19/2018
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267001/29/202204/01/2022  04/01/2022
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/29/202204/01/2022  04/01/2022
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771301/29/202204/01/2022  04/01/2022
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/15/202410/01/2024  10/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/15/202410/01/2024  10/01/2024
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/17/201710/01/2017  10/01/2017
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/17/201710/01/2017  10/01/2017
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/17/201710/01/2017  10/01/2017
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/17/201710/01/2017  10/01/2017
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/17/201710/01/2017  10/01/2017
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/17/201710/01/2017  10/01/2017
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/17/201710/01/2017  10/01/2017
Contract DetailCAREMARK PUERTO RICO SPECIALTY PHARMACY,CAREMARK PUERTO RICO SPECIALTY PHARMACY 6020 AVE ROBERTO SANCHEZ VILELLA
CAROLINAPR0098207/16/202010/01/2020  10/01/2020
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813307/17/201710/01/2017  10/01/2017
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237407/17/201710/01/2017  10/01/2017
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/16/202010/01/2020  10/01/2020
Contract DetailCENTERWELL PHARMACY, INC.9843 WINDISCH RD
WEST CHESTEROH4506910/26/202001/01/2021 04/09/202404/22/2024
Contract DetailCENTERWELL PHARMACY, INC.10737 MARKS WAY
MIRAMARFL3302510/26/202001/01/2021 04/09/202404/22/2024
Contract DetailCOMMUNITY PHARMACY OF CORNISH200 MAPLE ST STE 3
CORNISHME04020-314110/25/202101/01/2022 11/11/202411/11/2024
Contract DetailCOMMUNITY PHARMACY OF GORHAM365 MAIN ST
GORHAMME04038-130910/25/202101/01/2022 11/11/202411/11/2024
Contract DetailCOMMUNITY PHARMACY OF RANDOLPH268 WATER ST
RANDOLPHME04346-521710/25/202101/01/2022 11/11/202411/11/2024
Contract DetailCOMMUNITY PHARMACY OF SACO244 MAIN ST
SACOME04072-150910/25/202101/01/2022 11/11/202411/11/2024
Contract DetailCOMMUNITY PHARMACY OF WALDOBORO5 FRIENDSHIP ST
WALDOBOROME04572-628710/25/202101/01/2022 11/11/202411/11/2024
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/26/202001/01/2021  01/01/2021
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/26/202001/01/2021  01/01/2021
Contract DetailCVS MANCHESTER NH, L.L.C.DBA CVS/PHARMACY # 2197 301 NORTH MAIN ST.
ROCHESTERNH0386710/26/202001/01/2021  01/01/2021
Contract DetailCVS MANCHESTER NH, L.L.C.DBA: CVS/PHARMACY # 00650 1351 WHITE MOUNTAIN HWY
NORTHWAY SHPGPLZ 		NORTH CONWAYNH0386010/26/202001/01/2021  01/01/2021
Contract DetailCVS MANCHESTER NH, L.L.C.DBA: CVS/PHARMACY #04314 338 HIGH ST.
SOMERSWORTHNH0387810/26/202001/01/2021  01/01/2021
Contract DetailCVS MANCHESTER NH, L.L.C.DBA: CVS/PHARMACY # 00846 674 ISLINGTON STREET
PORTSMOUTHNH0380110/25/202101/01/2022  01/01/2022
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00806 51 MARKET STREET
MILL CREEK S/C 		SOUTH PORTLANDME0410607/31/201410/01/2014  05/11/2017
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00803 870 MAIN STREET
WESTBROOKME0409207/31/201410/01/2014  05/11/2017
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00329 111 AUBURN ST.
PORTLANDME0410307/31/201410/01/2014  05/11/2017
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00805 335 OCEAN HOUSE ROAD
CAPE ELIZABETHME0410707/31/201410/01/2014  05/11/2017
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00378 770 ROOSEVELT TRAIL, RTE 302
SHAWS PLZ 		WINDHAMME0406207/31/201410/01/2014  05/11/2017
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00804 1364 CONGRESS ST
PORTLANDME04102-210307/31/201410/01/2014  05/11/2017
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00374 449 FOREST AVENUE
PORTLANDME0410107/31/201410/01/2014  05/11/2017
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00454 510 CONGRESS STREET
PORTLANDME0410107/31/201410/01/2014  05/11/2017
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00608 1096 BRIGHTON AVE
PINE TREE S/C 		PORTLANDME0410207/31/201410/01/2014 01/02/202001/10/2020
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 02382 8 UNION STREET
AUBURNME0421010/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 08245 10 MIDDLE STREET
FREEPORTME0403210/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00620 1 KENNEDY MEMORIAL DR.
WATERVILLEME0490110/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00959 11 STEEPLE WAY, PO BOX 130
WELLSME0409010/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00273 446 SABATTUS ST.
LEWISTONME0424010/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.CVS PHARMACY # 17213 125 TOPSHAM FAIR MALL RD
TOPSHAMME0408610/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00156 10 EAST AVE
LEWISTON S/C 		LEWISTONME0424010/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 04158 24 STONE ST., STE120
AUGUSTAME0433010/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 01288 147 BATH RD
BRUNSWICKME04011-264710/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.CVS PHARMACY # 17382 119 CROSSING WAY
AUGUSTAME0433010/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00801 131 COURT STREET
BATHME0453010/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.CVS PHARMACY # 16975 60 LONGVIEW DR
BANGORME0440110/26/202001/01/2021  01/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 07410 48 PORTLAND RD.
KENNEBUNKME0404304/23/202107/01/2021  07/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00143 384 ELM ST.
BIDDEFORDME0400504/23/202107/01/2021  07/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.CVS PHARMACY # 16678 200 RUNNING HILL RD
SOUTH PORTLANDME0410604/23/202107/01/2021  07/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.CVS PHARMACY # 17246 430 MARINER WAY
BIDDEFORDME0400504/23/202107/01/2021  07/01/2021
Contract DetailCVS STATE CAPITAL, L.L.C.DBA: CVS/PHARMACY # 00523 797 MAIN ST. STE #D
SANFORDME0407304/23/202107/01/2021  07/01/2021
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/16/202010/01/2020  10/01/2020
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503307/19/201910/01/2019  10/01/2019
Contract DetailDIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268310/25/202101/01/2022 05/03/202207/15/2022
Contract DetailDOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K 		GREENVILLESC29607-654001/29/202204/01/2022  04/01/2022
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/26/202001/01/2021  01/01/2021
Contract DetailEXACT CARE PHARMACYDDCRX, LLC 2701 HIGHPOINT OAKS DR STE 100
LEWISVILLETX75067-389601/29/202204/01/2022  04/01/2022
Contract DetailEXACT CARE PHARMACY, LLC8333 ROCKSIDE RD
CLEVELANDOH4412501/29/202204/01/2022  04/01/2022
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/26/202001/01/2021  01/01/2021
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/26/202001/01/2021  01/01/2021
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/26/202001/01/2021  01/01/2021
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #82 7 HANNAFORD DR
WESTBROOKME0409204/14/201607/01/2016 01/04/201901/04/2019
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 295 FOREST AVE
PORTLANDME0410104/14/201607/01/2016 01/04/201901/04/2019
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 295 FOREST AVE
PORTLANDME0410104/16/201907/01/2019  07/01/2019
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 800 MAIN STREET
SANFORDME0407307/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #81 49 TOPSHAM FAIR MALL RD
SUITE 1 		TOPSHAMME0408607/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #81 756 US ROUTE 1
YARMOUTHME0409607/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #84 65 PORTLAND ROAD
KENNEBUNKME0404307/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #82 130 SHAKER ROAD
GRAYME0403907/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #82 7 HANNAFORD DR
WESTBROOKME0409207/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #81 469 MAIN ST
DAMARISCOTTAME0454307/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #82 21 HANNAFORD DR
BUXTONME0409307/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #82 50 COTTAGE ROAD
SOUTH PORTLANDME0410607/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 99 MAIN ST
GORHAMME0403807/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #82 35 ELM ST
BRUNSWICKME0401107/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD FOOD & DRUG #8349 71 COLONIAL DRIVE
STANDISHME0408407/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 797 ROOSEVELT TRAIL
WINDHAMME0406207/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #82 65 GRAY ROAD
FALMOUTHME0410507/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 HANNAFORD PLAZA
415 PHILBROOK AVE 		SOUTH PORTLANDME0410607/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 787 RIVERSIDE STREET
PORTLANDME0410307/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD FOOD & DRUG #8221 20 SOKOKIS TRAIL
WATERBOROME0408707/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 31 HANNAFORD DRIVE
SCARBOROUGHME0407407/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #81 532 MAIN STREET
SACOME0407207/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #81 109 PORTLAND ROAD
BRIDGTONME0400907/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #82 299 ELM STREET
BIDDEFORDME0400507/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #83 1603 MAIN ST
OXFORDME0427007/16/202010/01/2020  10/01/2020
Contract DetailHANNAFORD BROS. CO., LLCDBA HANNAFORD SUPERMARKET & PHARMACY #82 75 MAVERICK ST
ROCKLANDME0484110/25/202101/01/2022  01/01/2022
Contract DetailHANNAFORD BROS. CO., LLCHANNAFORD SUPERMARKET AND PHARMACY #8451 417 PAYNE RD
SCARBOROUGHME0407410/16/202301/01/2024  01/01/2024
Contract DetailMAINEHEALTHMAINEHEALTH PHARMACY SPECIALTY AND HOME 340 COUNTY RD
WESTBROOKME0409207/15/202210/01/2022  10/01/2022
Contract DetailNEW ENGLAND LIFE CARE45 CENTER STREET SUITE A
SCARBOROUGHME0407407/31/201410/01/2014 01/24/201901/24/2019
Contract DetailONCOMED PHARMACEUTICAL SERVICES OF MA, LD/B/A ONCO360 335 BEAR HILL RD
STE 2100 		WALTHAMMA0245101/29/202204/01/2022  04/01/2022
Contract DetailOPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191308/01/202310/01/2023  10/01/2023
Contract DetailOPTUM FRONTIER THERAPIES, LLC325 W ATHERTON RD SUITE 1
FLINTMI48507-260108/01/202310/01/2023  10/01/2023
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850704/26/202205/03/2022  05/04/2022
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713004/22/202007/01/2020  07/01/2020
Contract DetailOPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110108/01/202310/01/2023  10/01/2023
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508504/22/202007/01/2020  07/01/2020
Contract DetailOPTUMRX2858 LOKER AVE E STE 100
CARLSBADCA92010-660804/22/202007/01/2020 05/27/202210/14/2022
Contract DetailOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983804/22/202007/01/2020  07/01/2020
Contract DetailPHARMERICA97 MCALISTER FARM RD
PORTLANDME0410301/29/202204/01/2022  04/01/2022
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999207/19/201910/01/2019 10/01/202201/03/2023
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/17/201710/01/2017  10/01/2017
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #48611 141 PREBLE STREET
PORTLANDME0410101/19/201801/19/2018  01/19/2018
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/16/202010/01/2020  10/01/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/16/202010/01/2020  10/01/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681307/16/202010/01/2020  10/01/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2971 350 LONGWOOD AVE., STE B
BOSTONMA0211510/26/202001/01/2021  01/01/2021
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY # 2516 35 KNEELAND STREET
BOSTONMA0211104/23/202107/01/2021  07/01/2021
Contract DetailRAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255001/29/202204/01/2022  04/01/2022
Contract DetailRITE AID OF MAINE, INC.RITE AID #3277 290 CONGRESS STREET
PORTLANDME0410107/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #4125 465 MAIN STREET
WESTBROOKME0409207/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #3298 713 CONGRESS STREET
PORTLANDME0410207/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #4122 365 ALLEN AVENUE
PORTLANDME0410307/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #4132 279 MAIN STREET
SOUTH PORTLANDME0410607/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #4875 600 U.S. ROUTE ONE
SCARBOROUGHME0407407/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #4147 62 WEST GRAY ROAD
GRAYME0403907/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #4133 701 FOREST AVENUE
PORTLANDME0410307/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #4135 120 MAIN STREET
GORHAMME0403807/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #3278 33 DEPOT ROAD
FALMOUTHME0410507/13/201510/01/2015 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #3306 478 ROUTE 1
YARMOUTHME0409607/17/201710/01/2017 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #4160 226 PARKER FARM ROAD
BUXTONME0409307/17/201710/01/2017 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #3286 335 ALFRED STREET
BIDDEFORDME0400507/17/201710/01/2017 01/25/201801/25/2018
Contract DetailRITE AID OF MAINE, INC.RITE AID #4141 461 MAIN STREET
SACOME0407207/17/201710/01/2017 01/25/201801/25/2018
Contract DetailRIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500201/29/202204/01/2022  04/01/2022
Contract DetailSHAWS SUPERMARKETS INCSHAWS PHARMACY #0608 200 LOWER MAIN ST
FREEPORTME0403201/15/201904/01/2019 10/11/202410/11/2024
Contract DetailSHAWS SUPERMARKETS INCOSCO PHARMACY #0623 31 MAIN ST
WESTBROOKME04092-473701/15/201904/01/2019 02/09/202202/23/2022
Contract DetailSHAWS SUPERMARKETS INCSHAWS PHARMACY #2541 NORTHGATE CENTER
91 AUBURN STREET 		PORTLANDME0410301/15/201904/01/2019 10/11/202410/11/2024
Contract DetailSHAWS SUPERMARKETS INCSHAWS PHARMACY #2626 4 SCAMMON ST STE 10
SACOME0407201/15/201904/01/2019 10/11/202410/11/2024
Contract DetailSHAWS SUPERMARKETS INCOSCO PHARMACY #2547 417 PAYNE RD
SCARBOROUGHME04074-959401/15/201904/01/2019 09/21/202210/14/2022
Contract DetailSINA DRUG LLCD/B/A ONCO 360 13410 EASTPOINT CENTRE DR
STE 101 		LOUISVILLEKY4022301/29/202204/01/2022  04/01/2022
Contract DetailSORKIN'S RX LTDD/B/A CAREMED PHARMACEUTICAL SERVICES 1985 MARCUS AVE STE 130
NEW HYDE PARKNY11042-202401/29/202204/01/2022  04/01/2022
Contract DetailVANDERBILT HEALTH PHARMACY GROUP718 MELROSE AVE
NASHVILLETN37211-372104/16/201907/01/2019 12/31/202212/31/2022
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/09/201504/01/2015 11/11/202411/11/2024
Contract DetailWAL-MART PHARMACY 10-1788500 GALLERY BLVD
SCARBOROUGHME0407401/09/201504/01/2015 11/11/202411/11/2024
Contract DetailWAL-MART PHARMACY 10-179755 THOMASTON COMMONS WAY
THOMASTONME0486101/09/201504/01/2015 03/24/201605/11/2017
Contract DetailWAL-MART PHARMACY 10-1868100 MT AUBURN AVE
AUBURNME0421001/09/201504/01/2015 03/24/201605/11/2017
Contract DetailWAL-MART PHARMACY 10-1868100 MT AUBURN AVE
AUBURNME0421010/25/202101/01/2022 11/11/202411/11/2024
Contract DetailWAL-MART PHARMACY 10-193915 TIBBETTS DRIVE
BRUNSWICKME0401101/09/201504/01/2015 03/24/201605/11/2017
Contract DetailWAL-MART PHARMACY 10-19541930 MAIN STREET
SANFORDME0407301/09/201504/01/2015 03/24/201605/11/2017
Contract DetailWAL-MART PHARMACY 10-2046201 CIVIC CENTER DRIVE
AUGUSTAME0433001/09/201504/01/2015 03/24/201605/11/2017
Contract DetailWAL-MART PHARMACY 10-215350 BOULDER WAY
BIDDEFORDME0400501/09/201504/01/2015 11/11/202411/11/2024
Contract DetailWAL-MART PHARMACY 10-21831240 MAIN STREET 1 RT.26
OXFORDME0427001/09/201504/01/2015 03/04/201605/11/2017
Contract DetailWAL-MART PHARMACY 10-21831240 MAIN STREET 1 RT.26
OXFORDME0427010/25/202101/01/2022 11/11/202411/11/2024
Contract DetailWAL-MART PHARMACY 10-220230 LANDING ROAD
WINDHAMME0406201/09/201504/01/2015 11/11/202411/11/2024
Contract DetailWAL-MART PHARMACY 10-2659206 U.S. ROUTE 1
FALMOUTHME0410501/09/201504/01/2015 11/11/202411/11/2024
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/09/201504/01/2015 11/11/202411/11/2024
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10077 11 STATE ROAD
BATHME04530-601410/16/201501/01/2016  05/11/2017
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS # 10428 741 ROOSEVELT TRAIL
WINDHAMME04062-526910/16/201501/01/2016  05/11/2017
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #10988 233 U.S. ROUTE ONE
SCARBOROUGHME0407410/16/201501/01/2016  05/11/2017
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #11416 53 PARIS ST
NORWAYME0426810/16/201501/01/2016  05/11/2017
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #11886 127 MARGINAL WAY STE 3
PORTLANDME0410110/16/201501/01/2016  05/11/2017
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #12326 340 ALLEN AVE
PORTLANDME04103-380410/16/201501/01/2016 06/09/202006/19/2020
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #12325 616 FOREST AVE
PORTLANDME04101-151010/16/201501/01/2016  05/11/2017
Contract DetailWALGREEN EASTERN CO., INC.DBA WALGREENS #12400 868 MAIN ST.
SANFORDME0407310/16/201501/01/2016  05/11/2017
Contract DetailWALGREEN EASTERN CO., INC.RITE AID #04133 701 FOREST AVE
PORTLANDME0410302/06/201802/07/2018 06/11/201808/20/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19692 120 MAIN ST
GORHAMME04038-130602/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.RITE AID #04122 365 ALLEN AVE
PORTLANDME0410302/06/201802/07/2018 06/11/201808/20/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS # 17450 226 PARKER FARM RD
BUXTONME04093-315002/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19678 279 MAIN ST
SOUTH PORTLANDME04106-262902/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19423 478 ROUTE 1
YARMOUTHME0409602/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19461 33 DEPOT RD
FALMOUTHME0410502/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19821 713 CONGRESS ST
PORTLANDME0410202/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19078 465 MAIN ST
WESTBROOKME0409202/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19789 62 W GRAY RD
GRAYME0403902/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18409 335 ALFRED ST
BIDDEFORDME0400502/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18299 600 US ROUTE 1
SCARBOROUGHME0407402/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19464 290 CONGRESS ST STE 4
PORTLANDME0410102/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18004 461 MAIN ST
SACOME0407202/06/201802/07/2018  02/07/2018
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19902 665 ROOSEVELT TR. PO BOX 4008
NAPLESME04055-532201/15/201904/01/2019  04/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18431 37 PORTLAND RD
KENNEBUNKME04043-662801/15/201904/01/2019  04/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18119 15 SACO AVE
OLD ORCHARD BEACHME0406401/15/201904/01/2019  04/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19251 151 MAPLE ST
CORNISHME04020-310301/15/201904/01/2019  04/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19188 77 MALLETT DR
TOPSHAMME0408604/09/201907/01/2019  07/01/2019
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19188 77 MALLETT DR
TOPSHAMME0408604/09/201907/01/2019 04/19/201904/24/2019
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #19397 61 UNION ST
AUBURNME0421010/25/202101/01/2022 10/09/202301/12/2024
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19886 223 TOWNSEND AVE
BOOTHBAY HARBORME0453810/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #19802 430 SABATTUS ST
LEWISTONME0424010/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19796 400 US ROUTE 1
YORKME03909-165010/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #19908 575 LISBON ST
LISBON FALLSME0425210/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17364 19 PORTLAND RD
BRIDGTONME04009-122910/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19381 1036 POST RD
WELLSME04090-450010/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17990 943 WESTERN AVE
MANCHESTERME04351-340010/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17725 156 MAINE ST
BRUNSWICKME04011-207510/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #11373 403 WATER ST.
AUGUSTAME0433010/25/202101/01/2022 03/24/202504/10/2025
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #18414 81 MAIN ST
LIVERMORE FALLSME0425410/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19606 464 MAIN ST
SPRINGVALEME04083-181810/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.DBA: WALGREENS #19162 698 MINOT AVE
AUBURNME0421010/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19285 9 SPRING ST
GARDINERME0434510/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17745 16 PECK FARM RD
WINTHROPME04364-156510/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #17964 365 MAIN ST
DAMARISCOTTAME0454310/25/202101/01/2022  01/01/2022
Contract DetailWALGREEN EASTERN CO., INC.WALGREENS #19330 15 SHAPLEIGH RD
KITTERYME03904-140110/25/202101/01/2022  01/01/2022
Contract DetailWalgreens Central Fill #2140044 Cabot Blvd.
MansfieldMA0204805/03/202307/01/2023  07/01/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527507/19/201910/01/2019  10/01/2019
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503307/19/201910/01/2019  10/01/2019
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818807/19/201910/01/2019  10/01/2019
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700807/19/201910/01/2019 10/01/202110/25/2021
Contract DetailWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275605/03/202307/01/2023 11/11/202411/11/2024
Contract DetailWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/12/202404/01/2024 11/11/202411/11/2024
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH200009AChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Gilman Clinic48-52 GILMAN STREETPORTLANDMEActive
DSH200009AAChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Cape Elizabeth Internal Medicine155 Spurwink AveCape ElizabethMEActive
DSH200009ABChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Falmouth Internal Medicine5 Bucknam RoadFalmouthMEActive
DSH200009ACChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Scarborough Internal Medicine49 Spring StreetScarboroughMEActive
DSH200009ADChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Westbrook Internal Medicine1 Harnois AvenueWestbrookMEActive
DSH200009AEChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Lakes Region Primary Care582 Roosevelt TrailWindhamMEActive
DSH200009AFChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Westbrook Family Medicine1 Harnois AvenueWestbrookMEActive
DSH200009AGChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Scarborough Family Medicine49 Spring StreetScarboroughMEActive
DSH200009AHChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Women's Health - Division of Gynecologic Oncology100 Campus Drive, Suite 125ScarboroughMEActive
DSH200009AJChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Women's Health - Endocrinology & Infertility887 Congress Street, Suite 200PortlandMEActive
DSH200009AKChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Women's Health - Division of Urogynecology100 Brickhill Ave. Suite 203South PortlandMEActive
DSH200009ALChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Neurosurgery and Spine92 Campus DriveScarboroughMEActive
DSH200009AMChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Spine Center92 Campus DriveScarboroughMEActive
DSH200009ANChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Urology100 Brickhill Ave. Suite 100South PortlandMEActive
DSH200009APChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Endocrinology 175 US Route 1ScarboroughMEActive
DSH200009AQChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Diabetes Center175 US Route 1ScarboroughMEActive
DSH200009ARChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Adult and Pediatric Neurology92 Campus DriveScarboroughMEActive
DSH200009ASChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Maine Children's Cancer Program100 Campus Drive, Unit 107ScarboroughMEActive
DSH200009ATChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Orthopedic Trauma & Fracture Care 335 Brighton Ave. Suite 200PortlandMEActive
DSH200009AUChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Otolaryngology (ENT)92 Campus DriveScarboroughMEActive
DSH200009AVChildDSHMAINEHEALTH MAINE MEDICAL CENTERAmbulatory Diagnostic Services - Vascular Center 84 Campus DriveScarboroughMEActive
DSH200009AWChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Neuro Spine92 Campus DriveScarboroughMEActive
DSH200009AXChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Pediatric Specialty Care - Developmental/Behavioral Health 1577 Congress StreetPortlandMEActive
DSH200009AYChildDSHMAINEHEALTH MAINE MEDICAL CENTERAmbulatory Clinic Services - Breast Care100 Campus DriveScarboroughMEActive
DSH200009AZChildDSHMAINEHEALTH MAINE MEDICAL CENTERMRI - Diagnostic Center100 Campus DriveScarboroughMEActive
DSH200009BChildDSHMAINE MEDICAL CENTERVASCULAR CENTER131 CHADWICK STREETPORTLANDMETerminated
DSH200009BAChildDSHMAINEHEALTH MAINE MEDICAL CENTERRadiation Therapy Services - Oncology Admin100 Campus DriveScarboroughMEActive
DSH200009BBChildDSHMAINEHEALTH MAINE MEDICAL CENTERRadiation Therapy Services - Coastal Cancer175 Congress AveBathMEActive
DSH200009BCChildDSHMAINEHEALTH MAINE MEDICAL CENTERDiagnostic Center - Falmouth5 Bucknam RoadFalmouthMEActive
DSH200009BDChildDSHMAINEHEALTH MAINE MEDICAL CENTERMental Health Services - Adult216 Vaughan StPortlandMEActive
DSH200009BEChildDSHMAINE MEDICAL CENTERMental Health Services - Child 216 Vaughan St.PortlandMETerminated
DSH200009BFChildDSHMAINEHEALTH MAINE MEDICAL CENTERGeriatrics Center66 Bramhall StPortlandMEActive
DSH200009BGChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMC Sleep Institute930 Congress StreetPortlandMEActive
DSH200009BHChildDSHMAINE MEDICAL CENTEROPD HIV Treatment Center48-52 Gilman StreetPortlandMETerminated
DSH200009BJChildDSHMAINEHEALTH MAINE MEDICAL CENTERAmbulatory Surgical Services84 Campus DriveScarboroughMEActive
DSH200009BKChildDSHMAINEHEALTH MAINE MEDICAL CENTERAmbulatory Diagnostic Services100 Campus DriveScarboroughMEActive
DSH200009BLChildDSHMAINEHEALTH MAINE MEDICAL CENTERTurning Point - Cardiac Rehab96 Campus DriveScarboroughMEActive
DSH200009BMChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Orthopedics - Division of Joint Replacements5 Bucknam Road, Suite D1FalmouthMEActive
DSH200009BPChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP MaineHealth Cardiology Lewiston99 Campus AvenueLewistonMEActive
DSH200009BQChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP - MaineHealth Cardiology Scarborough96 Campus DriveScarboroughMEActive
DSH200009BRChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Family Medicine - Sports Medicine272 Congress StreetPortlandMEActive
DSH200009BSChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Peak's Island Family Medicine87 Central AvenuePeak's IslandMEActive
DSH200009BTChildDSHMAINEHEALTH MAINE MEDICAL CENTERBrighton Medical Center - ASC - Diagnostic Exam Room335 Brighton AvenuePortlandMEActive
DSH200009BUChildDSHMAINEHEALTH MAINE MEDICAL CENTERBrighton Medical Center - CT Scan335 Brighton AvenuePortlandMEActive
DSH200009BVChildDSHMAINEHEALTH MAINE MEDICAL CENTERScarborough Nuclear Medicine100 Campus DriveScarboroughMEActive
DSH200009BWChildDSHMAINEHEALTH MAINE MEDICAL CENTERScarborough Imaging100 Campus DriveScarboroughMEActive
DSH200009BXChildDSHMAINEHEALTH MAINE MEDICAL CENTERScarborough Ultra Sound100 Campus DriveScarboroughMEActive
DSH200009BYChildDSHMAINE MEDICAL CENTERMMP MRI49 Spring StreetScarboroughMETerminated
DSH200009BZChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Falmouth Family Medicine5 Bucknam RoadFalmouthMEActive
DSH200009CChildDSHMAINEHEALTH MAINE MEDICAL CENTERMENTAL HEALTH SERVICES66 BRAMHALL ST.PORTLANDMEActive
DSH200009CAChildDSHMAINEHEALTH MAINE MEDICAL CENTERThoracic Oncology Clinic100 Campus DriveScarboroughMEActive
DSH200009CBChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Orthopedics & Sports Medicine119 Gannett DriveSouth PortlandMEActive
DSH200009CCChildDSHMAINE MEDICAL CENTERMMC Surgical Care92 Campus DriveScarboroughMETerminated
DSH200009CDChildDSHMAINE MEDICAL CENTERMMC Biddeford IV Therapy26 West Cole RoadBiddefordMETerminated
DSH200009CEChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMC Sanford IV Therapy27 Industrial AvenueSanfordMEActive
DSH200009CFChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Cardiovascular Surgery818 Congress StreetPortlandMEActive
DSH200009CGChildDSHMAINEHEALTH MAINE MEDICAL CENTERPediatric Neurology (P Neurology General)92 Campus DriveSCARBOROUGHMEActive
DSH200009CHChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP OP - Oncology265 Western AvenueSouth PortlandMEActive
DSH200009CJChildDSHMAINEHEALTH MAINE MEDICAL CENTERSouth Portland IV Therapy - Intravenous Therapy265 Western AvenueSouth PortlandMEActive
DSH200009CKChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Congenital Heart - Congential Heart71 US Route 1SCARBOROUGHMEActive
DSH200009CLChildDSHMAINE MEDICAL CENTERMedical Oncology Biddeford - Oncology26 West Cole RdBiddefodMETerminated
DSH200009CMChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Dermatology1601 Congress StreetPortlandMEActive
DSH200009CNChildDSHMAINEHEALTH MAINE MEDICAL CENTERMedical Oncology Sanford - Oncology27 Industrial AvenueSanfordMEActive
DSH200009CPChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Adult Infectious Disease - Infectious Disease41 Donald Dean DrSouth PortlandMEActive
DSH200009CQChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Vascular Surgery - Vascular Surgery92 Campus DriveScarboroughMEActive
DSH200009CRChildDSHMAINE MEDICAL CENTERMMP General Surgery, Trauma and Critical Care - Surgery79 Bramhall StreetPortlandMETerminated
DSH200009CSChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Brunswick IV Therapy - Outpatient IV Therapy329 Maine StBrunswickMEActive
DSH200009CTChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Ortho Sports Windham - Ortho and Sports Medicine584 Roosevelt TrailWindhamMEActive
DSH200009CUChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Standish Primary Care - Primary Care111 Ossipee Trail EastStandishMEActive
DSH200009CVChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP PSC - Gender Clinic - Gender Clinic1577 Congress StreetPortlandMEActive
DSH200009CWChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Palliative Care Clinic - Palliative Care144 Us Route 1ScarboroughMEActive
DSH200009CXChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Otolaryngology Procedure Biddeford - Otolaryngology30 West Cole RdBiddefordMEActive
DSH200009CYChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Women's Health Division of Maternal Fetal Medicine - Women's Health887 Congress StPortlandMEActive
DSH200009CZChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP SURGICAL CARE CASCO BAY - Surgery55 SPRING STREETSCARBOROUGHMEActive
DSH200009DAChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Surgical Care - General Surgery887 Congress StPortlandMEActive
DSH200009DBChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Surgical Oncology - Surgery Oncology887 Congress StPortlandMEActive
DSH200009DCChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Otolaryngology Biddeford - Otolaryngology30 West Cole RdBiddefordMEActive
DSH200009DDChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP NEPHROLOGY - Nephrology1600B CONGRESS STPORTLANDMEActive
DSH200009DEChildDSHMAINEHEALTH MAINE MEDICAL CENTERComprehensive Addiction Medicine - Portland - Comprehensive Addiction Medicine - Portland576 St. John StreetPortlandMEActive
DSH200009DFChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Sleep Medicine Kennebunk - Sleep Medicine2 Livewell Dr. - South TowerKennebunkMEApproved
DSH200009DGChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Pediatric Specialty Care Developmental Medicine Kennebunk - Pediatrics3 Shape DrKennebunkMEApproved
DSH200009DHChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Walk-In Care - East Waterboro - Walk-In Care10 Goodall Dr.East WaterboroMEApproved
DSH200009DJChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Walk-In Care - Kennebunk - Walk-In Care2 Livewell Dr. - North TowerKennebunkMEApproved
DSH200009DKChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Primary Care- Family Medicine- Saco - Primary Care13 Industrial Park Rd.SacoMEApproved
DSH200009DLChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Infectious Disease Biddeford - Infectious Diseases46 Barra RoadBiddefordMEApproved
DSH200009DMChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Wound Care - Biddeford - Wound Care1 Medical Center Dr.BiddefordMEApproved
DSH200009DNChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Sanford Anesthesia Virtual - Anesthesia25 June StSanfordMEApproved
DSH200009DPChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Primary Care- Internal Medicine- Biddeford - Primary Care46 Barra Rd.BiddefordMEApproved
DSH200009DQChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Radiology Ultrasound Healthcare Dr Biddeford - Ultrasound9 Healthcare DrBiddefordMEApproved
DSH200009DRChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth DXA Sanford - Radiology25A June StSanfordMEApproved
DSH200009DSChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Radiology X-ray Saco - Radiology655 Main St.SacoMEApproved
DSH200009DTChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Sanford Radiology MRI - MRI25 June StSanfordMEApproved
DSH200009DUChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Radiology Mammography - Radiology1 Medical Center DrBiddefordMEApproved
DSH200009DVChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Radiology Interventional Radiology - Radiology1 Medical Center DrBiddefordMEApproved
DSH200009DWChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Radiology MRI - MRI1 Medical Center DrBiddefordMEApproved
DSH200009DXChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Radiology CT Scan - CT Scan1 Medical Center DrBiddefordMEApproved
DSH200009DYChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Radiology Nuclear Medicine - Nuclear Medicine1 Medical Center DrBiddefordMEApproved
DSH200009DZChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Vascular Surgery Radiology Ultrasound Biddeford - Ultrasound9 Healthcare DrBiddefordMEApproved
DSH200009EChildDSHMAINEHEALTH MAINE MEDICAL CENTERSCARBOROUGH OUTPATIENT IV THERAPY DEPARTMENT100 CAMPUS DRIVE, SUITE 124SCARBOROUGHMEActive
DSH200009EAChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth DXA Healthcare Dr Biddeford - Radiology9 Healthcare DrBiddefordMEApproved
DSH200009EBChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Radiology Care Unit - Scarborough - Radiology100 Campus DriveScarboroughMEApproved
DSH200009ECChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Radiology Ultrasound - Ultrasound1 Medical Center DrBiddefordMEApproved
DSH200009EDChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Orthopedics and Sports Medicine Radiology X-Ray Sanford - Radiology25A June St.SanfordMEApproved
DSH200009EEChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Radiology X-ray Barra Rd Biddeford - Radiology46 Barra RdBiddefordMEApproved
DSH200009EFChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Gastroenterology Biddeford - Gastroenterology9 Healthcare Dr.BiddefordMEApproved
DSH200009EGChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Sanford Post Anesthesia Care Unit - Post Anesthesia Care Unit25 June StSanfordMEApproved
DSH200009EHChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Post Anesthesia Care Unit - Post Anesthesia Care Unit1 Medical Center DrBiddefordMEApproved
DSH200009EJChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Neurology - Biddeford - Neurology46 Barra Rd.BiddefordMEApproved
DSH200009EKChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Health Center - Kennebunk - Primary Care2 Livewell Dr. North TowerKennebunkMEApproved
DSH200009ELChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Preble Street Learning Collaborative Portland - Primary Care20 Portland StPortlandMEApproved
DSH200009EMChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Dermatology - Kennebunk - Dermatology2 Livewell DrKennebunkMEApproved
DSH200009ENChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Primary Care- Family Medicine- Sanford - Primary Care25A June St.SanfordMEApproved
DSH200009EPChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Pediatrics - Biddeford - Pediatrics9 Healthcare Dr.BiddefordMEApproved
DSH200009EQChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Pediatrics - Kennebunk - Pediatrics3 Shape Dr.KennebunkMEApproved
DSH200009ERChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Pediatrics - Main St - Saco - Pediatrics655 Main StSacoMEApproved
DSH200009ESChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Pediatrics - Sanford - Pediatrics25 June St.SanfordMEApproved
DSH200009ETChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Walk-In Care - Sanford - Walk-In Care25A June St.SanfordMEApproved
DSH200009EUChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Weight Management - Kennebunk - Weight Management72 Main St.KennebunkMEApproved
DSH200009EVChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Cancer Care and IV Therapy - Brunswick - Oncology329 Maine StreetBrunswickMEApproved
DSH200009EWChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Walk-In Care - Saco - Walk-In Care655 Main St.SacoMEApproved
DSH200009EXChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Vascular Surgery - Biddeford - Vascular Surgery9 Healthcare DrBiddefordMEApproved
DSH200009EYChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Endoscopy - Endoscopy1 Medical Center DrBiddefordMEApproved
DSH200009EZChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Sanford Operating Room - Operating Room25 June StSanfordMEApproved
DSH200009FChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaine Medical Center Urgent Care Plus335 BRIGHTON AVENUEPORTLANDMEActive
DSH200009FAChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Sanford Emergency Department - Emergency Care25 June StSanfordMEApproved
DSH200009FBChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Cardiology Cath Lab - Cath Lab1 Medical Center DrBiddefordMEApproved
DSH200009FCChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Sports Performance and Physical Therapy Saco - Sports Medicine12 Thornton Ave.SacoMEApproved
DSH200009FDChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Sports Performance Sanford - Sports Medicine1 Emile Levasseur DrSanfordMEApproved
DSH200009FEChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Cardiopulmonary Care - Pulmonary Medicine1 Medical Center Dr.BiddefordMEApproved
DSH200009FFChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Anesthesia Virtual - Anesthesia1 Medical Center DrBiddefordMEApproved
DSH200009FGChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Sanford Radiology - Radiology25 June StSanfordMEApproved
DSH200009FHChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Sleep Medicine - Sleep Lab - Kennebunk - Sleep Lab2 Livewell Dr. - South TowerKennebunkMEApproved
DSH200009FJChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Cardiology- Sanford - Cardiology25A June StSanfordMEApproved
DSH200009FKChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Cardiology - Biddeford - Cardiology9 Healthcare Dr.BiddefordMEApproved
DSH200009FLChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Pulmonary and Sleep Medicine - Sanford - Pulmonary and Sleep Medicine25A June St.SanfordMEApproved
DSH200009FMChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Surgical Care - Biddeford - Surgical Care9 Healthcare Dr.BiddefordMEApproved
DSH200009FNChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Surgical Care Sanford - Surgical Care25A June St.SanfordMEApproved
DSH200009FPChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Occupational Health Sanford - Occupational Health13 July StreetSanfordMEApproved
DSH200009FQChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Occupational Health/WorkWell Biddeford - Occupational Health10 Wellspring Rd.BiddefordMEApproved
DSH200009FRChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Operating Room - Operating Room1 Medical Center DrBiddefordMEApproved
DSH200009FSChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Orthopedics and Sports Medicine - Biddeford - Sports Medicine46 Barra Rd.BiddefordMEApproved
DSH200009FTChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Ambulatory Surgical Unit - Surgery1 Medical Center DrBiddefordMEApproved
DSH200009FUChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Sanford Respiratory Therapy - Respiratory Medicine25 June StSanfordMEApproved
DSH200009FVChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Pulmonary and Sleep Medicine - Biddeford - Pulmonary and Sleep Medicine9 Healthcare DrBiddefordMEApproved
DSH200009FWChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Orthopedics and Sports Medicine - Sanford - Sports Medicine25A June St.SanfordMEApproved
DSH200009FXChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center - Biddeford - Cardiopulmonary Rehab - Cardiac Rehab1 Medical Center DrBiddefordMEApproved
DSH200009FYChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Obstetrics and Gynecology- Biddeford - Women's Health9 Healthcare DrBiddefordMEApproved
DSH200009FZChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Cardiopulmonary Care Sanford - Pulmonary Medicine25A June StSanfordMEApproved
DSH200009GChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMC Weight and Wellness41 Donald B. Dean DriveSouth PortlandMEActive
DSH200009GAChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Obstetrics and Gynecology - Family Birth Center- Biddeford - Women's Health1 Medical Center Dr.BiddefordMEApproved
DSH200009GBChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Pain Care - Sanford - Pain Clinic25A June St.SanfordMEApproved
DSH200009GCChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Pain Care - Kennebunk - Pain Clinic2 Livewell Dr- South TowerKennebunkMEApproved
DSH200009GDChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Obstetrics and Gynecology - Sanford - Women's Health25A June StSanfordMEApproved
DSH200009GEChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Sanford Radiology Ultrasound - Ultrasound25 June StSanfordMEApproved
DSH200009GFChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Emergency Department - Emergency Care1 Medical Center DrBiddefordMEApproved
DSH200009GGChildDSHMAINEHEALTH MAINE MEDICAL CENTERMaineHealth Maine Medical Center Biddeford Emergency Department Radiology Ultrasound - Emergency Care Radiology1 Medical Center DrBiddefordMEApproved
DSH200009HChildDSHMAINEHEALTH MAINE MEDICAL CENTERKIDNEY TRANSPLANT PROGRAM43 Baxter BoulevardPORTLANDMEActive
DSH200009JChildDSHMAINEHEALTH MAINE MEDICAL CENTERFAMILY MEDICINE CENTER PROGRAMS272 CONGRESS ST.PORTLANDMEActive
DSH200009KChildDSHMAINE MEDICAL CENTERFALMOUTH CAMPUS - AMBULATORY CLINIC SERVICES5 BUCKMAN ROADFALMOUTHMETerminated
DSH200009LChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Falmouth Pediatrics5 Bucknam Road, Suite 2AFalmouthMEActive
DSH200009MChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Portland Pediatrics1577 Congress StreetPortlandMEActive
DSH200009NChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Saco Pediatrics 4 Scamman Street, Suite 51SacoMEActive
DSH200009PChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP South Portland Pediatrics75 John Roberts RoadSouth PortlandMEActive
DSH200009QChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Westbrook Pediatrics1 Harnois AvenueWestbrookMEActive
DSH200009RChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Pediatric Specialty Care - Pulmonary887 Congress Street Suite 320PortlandMEActive
DSH200009SChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Pediatric Specialty Care - Infectious Diseases887 Congress Street Suite 320PortlandMEActive
DSH200009TChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Pediatric Specialty Care - Diabetes 887 Congress Street, Suite 100PortlandMEActive
DSH200009UChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Pediatric Specialty Care - Endocrinology887 Congress Street, Suite B120PortlandMEActive
DSH200009VChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Pediatric Specialty Care - Gastroenterology887 Congress Street, Suite 300PortlandMEActive
DSH200009WChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Pediatric Specialty Care - Nephrology887 Congress Street, Suite 300PortlandMEActive
DSH200009XChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Pediatric Specialty Care - Genetics1577 Congress StreetPortlandMEActive
DSH200009YChildDSHMAINE MEDICAL CENTERMMP Pediatric Specialty Care - Countdown Clinic1577 Congress StreetPortlandMETerminated
DSH200009ZChildDSHMAINEHEALTH MAINE MEDICAL CENTERMMP Pediatric Surgery887 Congress Street, Suite 400PortlandMEActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsEntity NameUpdateChange RequestMAINE MEDICAL CENTERMAINEHEALTH MAINE MEDICAL CENTER3/26/2025 7:05 AM
ContactsAuthorizing OfficialUpdateChange RequestInzana, Lugene Anthony CFO Maine Medical Center 2076622654Coon, Chris Southern Region Vice President, Finance MaineHealth 20766262131/21/2025 7:56 AM
ContactsPrimary ContactUpdateGroup Change RequestTran, Roya Director of 340B Program & Drug Supply Management Maine Health 2076610304MARDEN, BRIAN Chief Pharmacy Officer MaineHealth 20766130571/13/2025 3:02 PM
DetailsLast Recertification DateUpdateRecertification9/6/2023 12:47:22 PM8/19/2024 12:30:30 PM8/19/2024 12:30 PM
ContactsPrimary ContactUpdateProfile Change RequestTran, Roya Director of 340B Program & Drug Supply Management Maine Health 2076613057Tran, Roya Director of 340B Program & Drug Supply Management Maine Health 20766103048/16/2024 2:07 PM
ContactsPrimary ContactUpdateGroup Change RequestMARDEN, BRIAN Chief Pharmacy Officer MaineHealth 2076613057Tran, Roya Director of 340B Program & Drug Supply Management Maine Health 20766130577/31/2024 9:46 AM
AddressesShipping AddressInsertChange Request MaineHealth Pharmacy Retail Maine Medical Center Biddeford 1 Medical Center Drive Biddeford, ME 040057/15/2024 7:51 AM
AddressesShipping AddressInsertChange Request MaineHealth Maine Medical Center Biddeford 1 Medical Center Drive Biddeford, ME 040057/15/2024 7:51 AM
ContactsPrimary ContactUpdateGroup Change RequestTran, Roya Director of 340B Program & Drug Supply Management Maine Health 2076613057MARDEN, BRIAN Chief Pharmacy Officer MaineHealth 20766130572/9/2024 4:35 PM
Medicaid BillingNPI: NumberInsertChange Request 150889705910/9/2023 12:51 PM
Medicaid BillingNPI: StateInsertChange Request ME10/9/2023 12:51 PM
DetailsLast Recertification DateUpdateRecertification9/1/2022 5:50:02 PM9/6/2023 12:47:22 PM9/6/2023 12:47 PM
ContactsPrimary ContactUpdateGroup Change RequestMARDEN, BRIAN Chief Pharmacy Officer MaineHealth 2076613057Tran, Roya Director of 340B Program & Drug Supply Management Maine Health 20766130578/15/2023 3:28 PM
ContactsPrimary ContactUpdateGroup Change RequestHoang, Minh Director of 340B and Drug Supply Management MaineHealth 7145101694MARDEN, BRIAN Chief Pharmacy Officer MaineHealth 207661305712/14/2022 9:32 AM
ContactsPrimary ContactUpdateRecertificationMarden, Brian Chief Pharmacy Officer MaineHealth 2076613057Hoang, Minh Director of 340B and Drug Supply Management MaineHealth 71451016949/1/2022 5:50 PM
DetailsLast Recertification DateUpdateRecertification9/8/2021 8:53:31 AM9/1/2022 5:50:02 PM9/1/2022 5:50 PM
AddressesShipping AddressInsertChange Request Maine Medical Center Clinic Medication Stock Preparation Area 340 County Rd Suite 1A Westbrook, ME 0409210/6/2021 3:19 PM
DetailsLast Recertification DateUpdateRecertification8/19/2020 12:10:52 PM9/8/2021 8:53:31 AM9/8/2021 8:53 AM
Medicaid BillingNPI: StateUpdateRecertification ME8/19/2020 12:10 PM
DetailsLast Recertification DateUpdateRecertification9/6/2019 7:27:12 AM8/19/2020 12:10:52 PM8/19/2020 12:10 PM
DetailsLast Recertification DateUpdateRecertification9/7/2018 1:12:38 PM9/6/2019 7:27:12 AM9/6/2019 7:27 AM
ContactsPrimary ContactUpdateProfile Change RequestMarden, Brian Chief Pharmacy Officer MaineHealth 2076623057Marden, Brian Chief Pharmacy Officer MaineHealth 20766130578/19/2019 12:47 PM
ContactsPrimary ContactUpdateChange RequestSpaulding, Justin 340B Program Manager Maine Medical Center 2076621541Marden, Brian Chief Pharmacy Officer MaineHealth 20766230575/28/2019 8:07 AM
DetailsLast Recertification DateUpdateRecertification11/20/2017 3:46:21 PM9/7/2018 1:12:38 PM9/7/2018 1:12 PM
ContactsPrimary ContactUpdateChange RequestMarden, Brian Senior Pharmacy Director Maine Medical Center 2072338370Spaulding, Justin 340B Program Manager Maine Medical Center 20766215418/16/2018 12:34 PM
DetailsLast Recertification DateUpdateRecertification8/10/2016 12:00:00 AM11/20/2017 3:46:21 PM11/20/2017 3:46 PM
ContactsPrimary ContactUpdateRecertificationMarden, Brian Senior Pharmacy Director 2072338370Marden, Brian Senior Pharmacy Director Maine Medical Center 207233837011/6/2017 1:07 PM
ContactsAuthorizing OfficialUpdate Inzana, Lugene CFO 2076622654Inzana, Lugene Anthony CFO Maine Medical Center 207662265410/16/2017 11:02 AM
ContactsAuthorizing OfficialInsert  Inzana, Lugene CFO 20766226547/17/2017 8:52 AM
ContactsPrimary ContactUpdate LEONARD, MIRIAM VICE PRESIDENT - OPERATIONS 2076622343Marden, Brian Senior Pharmacy Director 20723383705/11/2017 2:44 PM
AddressesMain AddressInsert   22 BRAMHALL STREET PORTLAND, ME 041025/11/2017 2:44 PM
AddressesShipping AddressInsert  The Pharmacy at Maine Medical Center 22 Bramhall St. Portland, ME 041025/11/2017 2:44 PM
DetailsLast Recertification DateUpdate 8/10/2015 12:00:00 AM8/10/2016 12:00:00 AM8/10/2016 8:45 AM
DetailsLast Recertification DateUpdate 8/6/2014 12:00:00 AM8/10/2015 12:00:00 AM8/10/2015 2:08 PM
DetailsLast Recertification DateUpdate 8/30/2013 12:00:00 AM8/6/2014 12:00:00 AM8/6/2014 3:30 PM
Medicaid BillingNPI: NumberInsert  17604362168/30/2013 7:40 AM
DetailsLast Recertification DateUpdate  8/30/2013 12:00:00 AM8/30/2013 7:40 AM
ContactsPrimary ContactInsert  LEONARD, MIRIAM VICE PRESIDENT - OPERATIONS 20766223439/1/2011 5:24 PM
DetailsLast Recertification DateInsert   6/13/2011 4:20 PM
DetailsGrant NumberInsert   6/13/2011 4:20 PM
Details340B IDInsert  DSH2000096/13/2011 4:20 PM
DetailsIs Authorizing Official EHB DataInsert   6/13/2011 4:20 PM
DatesLast Date That 340B Drugs PurchasedInsert   6/13/2011 4:20 PM
DetailsMedicare Provider NumberInsert  2000096/13/2011 4:20 PM
DetailsEntity NameInsert  MAINE MEDICAL CENTER6/13/2011 4:20 PM
DetailsProgram CodeInsert  DSH6/13/2011 4:20 PM
DetailsEntity SubnameInsert   6/13/2011 4:20 PM
DatesParticipating Approval DateInsert  6/17/2011 12:00:00 AM6/13/2011 4:20 PM
DetailsStateInsert  Active6/13/2011 4:20 PM
DatesRegistration DateInsert  6/13/2011 12:00:00 AM6/13/2011 4:20 PM
DatesSigned By DateInsert  5/31/2011 12:00:00 AM6/13/2011 4:20 PM
DatesStart DateInsert  7/1/2011 12:00:00 AM6/13/2011 4:20 PM
TerminationsTermination CommentsInsert   6/13/2011 4:20 PM
TerminationsTermination DateInsert   6/13/2011 4:20 PM
TerminationsTermination Effective DateInsert   6/13/2011 4:20 PM
TerminationsTermination ReasonInsert   6/13/2011 4:20 PM