Covered Entity Details

CAH471300-00 Grace Cottage Hospital (Active) - information as of 6/21/2025 12:10:50 AM

Main Details

Name

Grace Cottage Hospital

Subdivision Name

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH471300-00

Medicare Provider Number

471300

Additional Details

Current Program Status

Active

Registration Date

8/3/2011

Participating Start Date

10/1/2011

Participating Approval Date

9/19/2011

Last Recertification Date

8/21/2024

Contacts

Authorizing Official

Grace Cottage Hospital
Stephen A. Brown, CFO
(802) 365-3601 Ext: 120

Primary Contact

Grace Cottage Hospital
Deborah C. Parker, Director of Finance
(802) 365-3617 Ext: 146

Addresses

Street Address

185 Grafton Road
Townshend, VT 05353-0216

Billing Address

Grace Cottage Hospital
P.O.Box 216
Townshend, VT 05353-0216

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
12/16/11- Deleted Medicaid #s(was 471300,473981,1005594)and NPI #s(was 1255337473,1124049960,1205930336)	12/16/2011

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

GRACE COTTAGE HOSPITAL
185 Grafton Road
Townshend, VT 05353

Shipping Address 2

MESSENGER VALLEY PHARMACY
170 Grafton Road
Townshend, VT 05353

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	BRATTLEBORO PHARMACY	413 CANAL ST		BRATTLEBORO	VT	05301	07/09/2020	10/01/2020		03/22/2022	05/11/2022

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
No records to display.

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	8/17/2023 8:43:50 AM	8/21/2024 8:09:56 AM	8/21/2024 8:09 AM
Details	Last Recertification Date	Update	Recertification	8/26/2022 12:50:32 PM	8/17/2023 8:43:50 AM	8/17/2023 8:43 AM
Details	Last Recertification Date	Update	Recertification	9/13/2021 6:43:42 AM	8/26/2022 12:50:32 PM	8/26/2022 12:50 PM
Contacts	Primary Contact	Update	Profile Change Request	Parker, Deborah C. Controller Grace Cottage Hospital 8023653617-146	Parker, Deborah C. Director of Finance Grace Cottage Hospital 8023653617-146	8/26/2022 11:48 AM
Details	Last Recertification Date	Update	Recertification	9/8/2020 1:24:11 PM	9/13/2021 6:43:42 AM	9/13/2021 6:43 AM
Details	Last Recertification Date	Update	Recertification	9/2/2019 1:34:58 PM	9/8/2020 1:24:11 PM	9/8/2020 1:24 PM
Details	Last Recertification Date	Update	Recertification	9/5/2018 1:47:09 PM	9/2/2019 1:34:58 PM	9/2/2019 1:34 PM
Addresses	Shipping Address	Delete	Change Request	GRACE COTTAGE HOSPITAL 185 Grafton Road Townshend, VT 05353		2/13/2019 6:53 AM
Details	Last Recertification Date	Update	Recertification	11/7/2017 8:30:14 AM	9/5/2018 1:47:09 PM	9/5/2018 1:47 PM
Details	Last Recertification Date	Update	Recertification	9/1/2016 12:00:00 AM	11/7/2017 8:30:14 AM	11/7/2017 8:30 AM
Contacts	Authorizing Official	Update		Brown, Stephen A. CFO 8023653601-120	Brown, Stephen A. CFO Grace Cottage Hospital 8023653601-120	10/24/2017 9:02 AM
Contacts	Signed By	Update		Brown, Stephen A. CFO 8023653601-120	Brown, Stephen A. CFO Grace Cottage Hospital 8023653601-120	10/24/2017 9:02 AM
Contacts	Primary Contact	Update		Parker, Deborah C. Controller 8023653617-146	Parker, Deborah C. Controller Grace Cottage Hospital 8023653617-146	10/20/2017 7:59 AM
Addresses	Main Address	Insert			185 Grafton Road Townshend, VT 05353-0216	9/1/2016 11:16 AM
Addresses	Shipping Address	Insert			MESSENGER VALLEY PHARMACY 170 Grafton Road Townshend, VT 05353	9/1/2016 11:16 AM
Addresses	Shipping Address	Insert			GRACE COTTAGE HOSPITAL 185 Grafton Road Townshend, VT 05353	9/1/2016 11:16 AM
Addresses	Shipping Address	Insert			GRACE COTTAGE HOSPITAL 185 Grafton Road Townshend, VT 05353	9/1/2016 11:16 AM
Contacts	Authorizing Official	Insert			Brown, Stephen A. CFO 8023653601-120	9/1/2016 11:16 AM
Contacts	Signed By	Insert			Brown, Stephen A. CFO 8023653601-120	9/1/2016 11:16 AM
Contacts	Primary Contact	Insert			Parker, Deborah C. Controller 8023653617-146	9/1/2016 11:16 AM
Details	Last Recertification Date	Update		9/2/2015 12:00:00 AM	9/1/2016 12:00:00 AM	9/1/2016 11:16 AM
Details	Last Recertification Date	Update		9/5/2014 12:00:00 AM	9/2/2015 12:00:00 AM	9/2/2015 10:18 AM
Addresses	Billing Address	Insert			Grace Cottage Hospital P.O.Box 216 Townshend, VT 05353-0216	12/12/2014 8:39 AM
Details	Last Recertification Date	Update		9/11/2013 10:13:12 AM	9/5/2014 12:00:00 AM	9/5/2014 10:01 AM
Details	Last Recertification Date	Update			9/11/2013 10:13:12 AM	9/11/2013 10:13 AM
Details	Comments Public	Insert			12/16/11- Deleted Medicaid #s(was 471300,473981,1005594)and NPI #s(was 1255337473,1124049960,1205930336)	12/16/2011 1:44 PM
Dates	Participating Approval Date	Update			9/19/2011 12:00:00 AM	9/19/2011 3:21 PM
Details	State	Update		Pending	Active	9/19/2011 3:21 PM
Dates	Start Date	Update			10/1/2011 12:00:00 AM	9/14/2011 10:01 AM
Details	340B ID	Update		ONLINE_REG	CAH471300-00	8/31/2011 1:12 PM
Details	Last Recertification Date	Insert				8/3/2011 9:58 AM
Details	Grant Number	Insert				8/3/2011 9:58 AM
Details	340B ID	Insert			ONLINE_REG	8/3/2011 9:58 AM
Details	Is Authorizing Official EHB Data	Insert				8/3/2011 9:58 AM
Dates	Last Date That 340B Drugs Purchased	Insert				8/3/2011 9:58 AM
Details	Medicare Provider Number	Insert			471300	8/3/2011 9:58 AM
Details	Entity Name	Insert			Grace Cottage Hospital	8/3/2011 9:58 AM
Details	Program Code	Insert			CAH	8/3/2011 9:58 AM
Details	Entity Subname	Insert				8/3/2011 9:58 AM
Dates	Participating Approval Date	Insert				8/3/2011 9:58 AM
Details	State	Insert			Pending	8/3/2011 9:58 AM
Dates	Registration Date	Insert			8/3/2011 12:00:00 AM	8/3/2011 9:58 AM
Dates	Signed By Date	Insert			8/3/2011 12:00:00 AM	8/3/2011 9:58 AM
Dates	Start Date	Insert				8/3/2011 9:58 AM
Terminations	Termination Comments	Insert				8/3/2011 9:58 AM
Terminations	Termination Date	Insert				8/3/2011 9:58 AM
Terminations	Termination Effective Date	Insert				8/3/2011 9:58 AM
Terminations	Termination Reason	Insert				8/3/2011 9:58 AM