Covered Entity Details

CH01038A REGIONAL MEDICAL CENTER AT LUBEC ME INC (Active) - information as of 6/23/2025 11:58:21 PM

Main Details

Name

REGIONAL MEDICAL CENTER AT LUBEC ME INC

Subdivision Name

EAST MACHIAS

Type

HRSA-Funded Health Center

Site ID

BPS-H80-003154

340B ID

CH01038A

Grant Number

H80CS00150

Additional Details

Current Program Status

Active

Registration Date

4/2/2014

Participating Start Date

7/1/2014

Participating Approval Date

4/14/2014

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Regional Medical Center at Lubec
Tom MacDonald, CEO
(207) 733-1090 Ext: 5201

Primary Contact

Regional Medical Center at Lubec
Terry Rier, Executive Office Manager
(207) 733-1090 Ext: 5203

Addresses

Street Address

893 Main St
EAST MACHIAS, ME 04630

Billing Address

Regional Medical Center at Lubec
43 South Lubec Road
Lubec, ME 04652

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

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

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Last Updated On
Contract Detail	HANNAFORD BROS. CO., LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #81	149 DUBLIN STREET	MACHIAS	ME	04654	10/15/2020	01/01/2021	01/01/2021
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/12/2021	10/01/2021	10/01/2021
Contract Detail	WAL-MART PHARMACY 10-2178	379 SOUTH STREET		CALAIS	ME	04619	01/19/2022	04/01/2022	04/01/2022
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/12/2021	10/01/2021	10/01/2021
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #17481	144 DUBLIN ST	MACHIAS	ME	04654	01/19/2022	04/01/2022	04/01/2022

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH010380	Active	BPS-H80-002559	REGIONAL MEDICAL CENTER AT LUBEC		43 SOUTH LUBEC ROAD	LUBEC	ME
CH01038A	Active	BPS-H80-003154	REGIONAL MEDICAL CENTER AT LUBEC ME INC	EAST MACHIAS	893 Main St	EAST MACHIAS	ME
CH01038B	Active	BPS-H80-006408	REGIONAL MEDICAL CENTER AT LUBEC ME INC	SCHOOL HEALTH CLINIC AT LUBEC	44 South St	Lubec	ME

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH010380	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	07/01/2025
CH010380	AVITA PHARMACY 1061	PHARMBLUE MASSACHUSETTS LLC DBA AVITA PH	163 PLEASANT ST	ATTLEBORO	MA	02703-2457	07/01/2025
CH010380	EASTPORT FAMILY PHARMACY	34 MIDDLE ST		EASTPORT	ME	04631	10/01/2017	01/25/2020
CH01038B	HANNAFORD BROS. CO., LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #81	149 DUBLIN STREET	MACHIAS	ME	04654	01/01/2021
CH010380	HANNAFORD BROS. CO., LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #81	149 DUBLIN STREET	MACHIAS	ME	04654	01/01/2021
CH01038A	HANNAFORD BROS. CO., LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #81	149 DUBLIN STREET	MACHIAS	ME	04654	01/01/2021
CH010380	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	07/01/2025
CH010380	RITE AID OF MAINE, INC.	RITE AID #3281	144 DUBLIN STREET	MACHIAS	ME	04654	10/01/2013	04/10/2018
CH010380	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2021
CH01038B	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2021
CH01038A	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2021
CH010380	WAL-MART PHARMACY 10-2178	379 SOUTH STREET		CALAIS	ME	04619	10/01/2017
CH01038B	WAL-MART PHARMACY 10-2178	379 SOUTH STREET		CALAIS	ME	04619	04/01/2022
CH01038A	WAL-MART PHARMACY 10-2178	379 SOUTH STREET		CALAIS	ME	04619	04/01/2022
CH01038B	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2021
CH01038A	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2021
CH010380	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2021
CH010380	WALGREEN EASTERN CO., INC	WALGREENS #17355	66 MOOSEHEAD TRL	NEWPORT	ME	04953	07/01/2025
CH010380	WALGREEN EASTERN CO., INC.	WALGREENS #17481	144 DUBLIN ST	MACHIAS	ME	04654	04/12/2018
CH01038A	WALGREEN EASTERN CO., INC.	WALGREENS #17481	144 DUBLIN ST	MACHIAS	ME	04654	04/01/2022
CH01038B	WALGREEN EASTERN CO., INC.	WALGREENS #17481	144 DUBLIN ST	MACHIAS	ME	04654	04/01/2022
CH010380	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11285	706 BROADWAY	BANGOR	ME	04401	07/01/2025
CH010380	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11742	226 HIGH STREET	ELLSWORTH	ME	04605-1742	07/01/2025
CH010380	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #13615	268 MAIN ST	BELFAST	ME	04915	07/01/2025
CH010380	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #17141	566 UNION ST	BANGOR	ME	04401	07/01/2025
CH010380	WALGREEN EASTERN CO., INC.	WALGREENS #17149	220 US ROUTE 1	BUCKSPORT	ME	04416	07/01/2025
CH010380	WALGREEN EASTERN CO., INC.	WALGREENS #18112	65 WESTERN AVE	HAMPDEN	ME	04444-1423	07/01/2025
CH010380	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	07/01/2023
CH010380	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH010380	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/29/2024 11:26:32 AM	2/10/2025 8:36:55 AM	2/10/2025 8:36 AM
Details	Last Recertification Date	Update	Recertification	2/1/2023 8:08:06 PM	1/29/2024 11:26:32 AM	1/29/2024 11:26 AM
Contacts	Primary Contact	Update	Recertification	Brown, Stacy M CFO Regional Medical Center at Lubec 2077331090-5202	Rier, Terry Executive Office Manager Regional Medical Center at Lubec 2077331090-5203	2/1/2023 8:08 PM
Details	Last Recertification Date	Update	Recertification	2/2/2022 12:17:37 PM	2/1/2023 8:08:06 PM	2/1/2023 8:08 PM
Contacts	Authorizing Official	Update	AO Change Request	Hughes, Marilyn F. CEO HealthWays/Regional Medical Center at Lubec 2077331090-5201	MacDonald, Tom CEO Regional Medical Center at Lubec 2077331090-5201	6/8/2022 12:33 PM
Details	Last Recertification Date	Update	Recertification	2/14/2021 4:14:57 PM	2/2/2022 12:17:37 PM	2/2/2022 12:17 PM
Contacts	Primary Contact	Update	Change Request	Beckwith, Ron CFO Regional Medical Center at Lubec 2077331090-2119	Brown, Stacy M CFO Regional Medical Center at Lubec 2077331090-5202	5/20/2021 2:31 PM
Contacts	Authorizing Official	Update	Profile Change Request	Hughes, Marilyn F. CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	Hughes, Marilyn F. CEO HealthWays/Regional Medical Center at Lubec 2077331090-5201	5/20/2021 1:44 PM
Contacts	Signed By	Update	Profile Change Request	Hughes, Marilyn F. CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	Hughes, Marilyn F. CEO HealthWays/Regional Medical Center at Lubec 2077331090-5201	5/20/2021 1:44 PM
Details	Last Recertification Date	Update	Recertification	1/28/2020 2:34:16 PM	2/14/2021 4:14:57 PM	2/14/2021 4:14 PM
Details	Last Recertification Date	Update	Recertification	2/18/2019 12:23:58 PM	1/28/2020 2:34:16 PM	1/28/2020 2:34 PM
Addresses	Billing Address	Insert	Recertification		Regional Medical Center at Lubec 43 South Lubec Road Lubec, ME 04652	2/18/2019 12:23 PM
Details	Last Recertification Date	Update	Recertification	2/12/2018 1:09:31 PM	2/18/2019 12:23:58 PM	2/18/2019 12:23 PM
Contacts	Primary Contact	Update	Recertification	Hughes, Marilyn F. CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	Beckwith, Ron CFO Regional Medical Center at Lubec 2077331090-2119	2/12/2018 1:09 PM
Details	Last Recertification Date	Update	Recertification	2/1/2017 12:00:00 AM	2/12/2018 1:09:31 PM	2/12/2018 1:09 PM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/12/2018 1:09 PM
Contacts	Authorizing Official	Update	Profile Change Request	Hughes, Marilyn CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	Hughes, Marilyn F. CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	2/12/2018 11:15 AM
Contacts	Primary Contact	Update	Profile Change Request	Hughes, Marilyn CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	Hughes, Marilyn F. CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	2/12/2018 11:15 AM
Contacts	Signed By	Update	Profile Change Request	Hughes, Marilyn CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	Hughes, Marilyn F. CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	2/12/2018 11:15 AM
Contacts	Authorizing Official	Update		Hughes, Marilyn CEO 2077331090-2196	Hughes, Marilyn CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	2/12/2018 10:37 AM
Contacts	Primary Contact	Update		Hughes, Marilyn CEO 2077331090-2196	Hughes, Marilyn CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	2/12/2018 10:37 AM
Contacts	Signed By	Update		Hughes, Marilyn CEO 2077331090-2196	Hughes, Marilyn CEO HealthWays/Regional Medical Center at Lubec 2077331090-2196	2/12/2018 10:37 AM
Contacts	Authorizing Official	Insert			Hughes, Marilyn CEO 2077331090-2196	7/14/2017 4:15 PM
Contacts	Primary Contact	Insert			Hughes, Marilyn CEO 2077331090-2196	7/14/2017 4:15 PM
Contacts	Signed By	Insert			Hughes, Marilyn CEO 2077331090-2196	7/14/2017 4:15 PM
Addresses	Main Address	Insert			893 Main St EAST MACHIAS, ME 04630	2/1/2017 4:43 PM
Details	Last Recertification Date	Update		2/25/2016 12:00:00 AM	2/1/2017 12:00:00 AM	2/1/2017 4:43 PM
Details	Last Recertification Date	Update		1/29/2015 12:00:00 AM	2/25/2016 12:00:00 AM	2/25/2016 9:41 AM
Details	Last Recertification Date	Update			1/29/2015 12:00:00 AM	1/29/2015 9:08 AM
Details	Is Authorizing Official EHB Data	Update			False	1/29/2015 9:08 AM
Details	340B ID	Update		ONLINE_REG	CH01038A	4/14/2014 4:05 PM
Dates	Participating Approval Date	Update			4/14/2014 12:00:00 AM	4/14/2014 4:05 PM
Details	State	Update		Pending	Active	4/14/2014 4:05 PM
Dates	Start Date	Update			7/1/2014 12:00:00 AM	4/14/2014 4:05 PM
Details	Last Recertification Date	Insert				4/2/2014 5:05 PM
Details	Grant Number	Insert			H80CS00150	4/2/2014 5:05 PM
Details	340B ID	Insert			ONLINE_REG	4/2/2014 5:05 PM
Details	Is Authorizing Official EHB Data	Insert				4/2/2014 5:05 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/2/2014 5:05 PM
Details	Medicare Provider Number	Insert				4/2/2014 5:05 PM
Details	Entity Name	Insert			REGIONAL MEDICAL CENTER AT LUBEC ME INC	4/2/2014 5:05 PM
Details	Program Code	Insert			CH	4/2/2014 5:05 PM
Details	Entity Subname	Insert			EAST MACHIAS	4/2/2014 5:05 PM
Dates	Participating Approval Date	Insert				4/2/2014 5:05 PM
Details	State	Insert			Pending	4/2/2014 5:05 PM
Dates	Registration Date	Insert			4/2/2014 12:00:00 AM	4/2/2014 5:05 PM
Dates	Signed By Date	Insert			4/2/2014 12:00:00 AM	4/2/2014 5:05 PM
Dates	Start Date	Insert				4/2/2014 5:05 PM
Terminations	Termination Comments	Insert				4/2/2014 5:05 PM
Terminations	Termination Date	Insert				4/2/2014 5:05 PM
Terminations	Termination Effective Date	Insert				4/2/2014 5:05 PM
Terminations	Termination Reason	Insert				4/2/2014 5:05 PM

340B Drug Pricing Program Database