| Details | CAH301307-00 | MaineHealth Memorial Hospital | | Critical Access Hospital | 3073 White Mountain Hwy |
| North Conway | NH | 04/01/2019 | | 4/1/2019 12:05 AM |
| Details | CHC00458-00 | SACOPEE VALLEY HEALTH CENTER | SACOPEE VALLEY HEALTH CENTER | HRSA-Funded Health Center | 70 Main St |
| Porter | ME | 04/01/2019 | | 4/1/2019 12:05 AM |
| Details | CHC00458-01 | SACOPEE VALLEY HEALTH CENTER | Sacopee Valley Health Center | HRSA-Funded Health Center | 202 Maple St UNIT E |
| Cornish | ME | 01/01/2024 | 01/16/2024 | 1/16/2024 1:26 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 2:59 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 11:50 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 11:51 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 |