| Details | CAH301310-00 | ANDROSCOGGIN VALLEY HOSPITAL , Inc. | | Critical Access Hospital | 59 PAGE HILL ROAD |
| BERLIN | NH | 01/31/2018 | | 1/31/2018 2:33 PM |
| Details | CH010850 | COOS COUNTY FAMILY HEALTH SERVICES, INC. | COOS COUNTY FAMILY HEALTH SVCS | HRSA-Funded Health Center | 133 Pleasant St |
| Berlin | NH | 01/30/2018 | | 1/30/2018 3:39 PM |
| Details | HV00812 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part C | Ryan White Part C | One Medical Center Drive |
| Lebanon | NH | 05/17/2018 | | 5/17/2018 3:00 PM |
| Details | HV00812A | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Manchester, Ryan White Part C | Ryan White Part C | 100 Hitchcock Way |
| Manchester | NH | 07/01/2018 | 04/01/2023 | 4/1/2023 12:01 AM |
| Details | HV00812B | Mary Hitchcock Memorial Hospital dba Ryan White Program | Bedford Clinic, Ryan White Part C | Ryan White Part C | 5 Washington Place |
| Bedford | NH | 07/01/2018 | | 5/16/2018 11:28 AM |
| Details | HV00812C | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Nashua, Ryan White Part C | Ryan White Part C | 2300 Southwood Drive |
| Nashua | NH | 07/01/2018 | | 5/16/2018 11:37 AM |
| Details | HV00812D | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part C | Ryan White Part C | 580 Court Street |
| Keene | NH | 04/01/2023 | | 4/1/2023 12:01 AM |
| Details | RW424881 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part D | Ryan White Part D | One Medical Center Drive |
| Lebanon | NH | 07/01/2018 | 01/01/2019 | 1/1/2019 12:05 AM |
| Details | RW424881A | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Manchester, Ryan White Part D | Ryan White Part D | 100 Hitchcock Way |
| Manchester | NH | 07/01/2018 | 01/01/2019 | 1/1/2019 12:05 AM |