| Details | CAH301304-00 | THE NEW LONDON HOSPITAL ASSOCIATION, INC | | Critical Access Hospital | 273 COUNTY ROAD |
| NEW LONDON | NH | 04/01/2019 | | 4/1/2019 12:05 AM |
| Details | CAH301304-01 | THE NEW LONDON HOSPITAL ASSOCIATION, INC | THE NEWPORT HEALTH CENTER - RHC | Critical Access Hospital | 11 JOHN STARK HIGHWAY |
| NEWPORT | NH | 04/01/2019 | 11/19/2019 | 11/19/2019 1:45 PM |
| Details | CAH301305-00 | ALICE PECK DAY MEMORIAL HOSPITAL | | Critical Access Hospital | 10 ALICE PECK DAY DRIVE |
| LEBANON | NH | 04/01/2020 | | 4/1/2020 12:05 AM |
| Details | CAH301305-04 | ALICE PECK DAY MEMORIAL HOSPITAL | MSC Orthopaedics - Orthopaedic Clinic | Critical Access Hospital | 9 Alice Peck Day Drive |
| Lebanon | NH | 04/01/2020 | 01/13/2022 | 1/13/2022 10:03 AM |
| Details | CAH301308-00 | VALLEY REGIONAL HOSPITAL | | Critical Access Hospital | 243 ELM STREET |
| CLAREMONT | NH | 01/01/2019 | | 1/1/2019 12:05 AM |
| Details | CAH301309-00 | MONADNOCK COMMUNITY HOSPITAL | | Critical Access Hospital | 452 OLD STREET ROAD |
| PETERBOROUGH | NH | 01/01/2019 | | 1/1/2019 12:05 AM |
| Details | CAH301312-00 | HUGGINS HOSPITAL | | Critical Access Hospital | 240 SOUTH MAIN STREET |
| WOLFEBORO | NH | 01/01/2020 | 07/31/2023 | 9/7/2023 9:42 AM |
| Details | CAH471301-00 | GIFFORD MEDICAL CENTER | | Critical Access Hospital | 44 SOUTH MAIN STREET |
| RANDOLPH | VT | 01/01/2021 | | 4/13/2023 11:23 AM |
| Details | CAH471301-03 | GIFFORD MEDICAL CENTER | KINGWOOD HEALTH CENTER - NEURO CLINIC | Critical Access Hospital | 1422 ROUTE 66 |
| RANDOLPH | VT | 01/01/2021 | 10/01/2023 | 10/1/2023 12:01 AM |
| Details | CAH471301-04 | GIFFORD MEDICAL CENTER | LEVESQUE MEDICAL OFFICES - PODIATRY CLINIC | Critical Access Hospital | 44 SOUTH MAIN STREET |
| RANDOLPH | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CAH471301-07 | GIFFORD MEDICAL CENTER | LEVESQUE MEDICAL OFFICES - GEN SURGERY CLINIC (SURGICAL) | Critical Access Hospital | 44 SOUTH MAIN STREET |
| RANDOLPH | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CAH471301-08 | GIFFORD MEDICAL CENTER | LEVESQUE MEDICAL OFFICES - GEN SURGERY CLINIC (UROLOGY) | Critical Access Hospital | 44 SOUTH MAIN STREET |
| RANDOLPH | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CAH471301-09 | GIFFORD MEDICAL CENTER | LEVESQUE MEDICAL OFFICES - ORTHOPEDIC CLINIC | Critical Access Hospital | 44 SOUTH MAIN STREET |
| RANDOLPH | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CAH471301-10 | GIFFORD MEDICAL CENTER | SHARON HEALTH CENTER | Critical Access Hospital | 12 SHIPPEE LANE |
| SHARON | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CAH471301-11 | GIFFORD MEDICAL CENTER | TWIN RIVER HEALTH CENTER - GENERAL SURGERY CLINIC (UROLOGY) | Critical Access Hospital | 108 NORTH MAIN ST |
| WHITE RIVER JUNCTION | VT | 01/01/2021 | 10/01/2023 | 10/1/2023 12:01 AM |
| Details | CAH471301-14 | GIFFORD MEDICAL CENTER | GIFFORD HEALTH CENTER AT BERLIN - SPECIALTY CLINICS | Critical Access Hospital | 82 EAST VIEW LANE |
| BARRE | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CAH471301-16 | GIFFORD MEDICAL CENTER | GIFFORD HEALTH CENTER AT BERLIN - ORTHOPEDIC CLINIC | Critical Access Hospital | 82 EAST VIEW LANE |
| BARRE | VT | 01/01/2021 | 10/01/2023 | 10/1/2023 12:01 AM |
| Details | CAH471302-00 | WINDSOR HOSPITAL CORPORATION D/B/A MT. ASCUTNEY HOSPITAL AND HEALTH CENTER | | Critical Access Hospital | 289 COUNTY ROAD |
| WINDSOR | VT | 04/01/2019 | | 4/1/2019 12:05 AM |
| Details | CAH471306-00 | SPRINGFIELD HOSPITAL | | Critical Access Hospital | 25 RIDGEWOOD ROAD |
| SPRINGFIELD | VT | 07/01/2020 | | 7/1/2020 12:01 AM |
| Details | CHC00295-00 | HEALTHFIRST FAMILY CARE CENTER, Inc. | HEALTH FIRST FAMILY CARE CENTER | HRSA-Funded Health Center | 841 Central St |
| Franklin | NH | 07/01/2024 | | 7/1/2024 12:01 AM |
| Details | CHC11353-00 | SPRINGFIELD MEDICAL CARE SYSTEMS INC | Ludlow Health Center | HRSA-Funded Health Center | 1 Elm St. |
| Ludlow | VT | 01/01/2020 | | 1/1/2020 12:05 AM |
| Details | CHC11353-01 | SPRINGFIELD MEDICAL CARE SYSTEMS INC | The Women's Health Center of Springfield | HRSA-Funded Health Center | 29 Ridgewood Rd. FL A |
| Springfield | VT | 01/01/2020 | 04/01/2021 | 4/1/2021 12:01 AM |
| Details | CHC11353-05 | SPRINGFIELD MEDICAL CARE SYSTEMS INC | Charlestown Health Center | HRSA-Funded Health Center | 250 Ceda Road |
| Charlestown | NH | 01/01/2020 | | 1/1/2020 12:05 AM |
| Details | CHC11353-06 | SPRINGFIELD MEDICAL CARE SYSTEMS INC | Chester Dental Center | HRSA-Funded Health Center | 55 Main St. Route 11 |
| Chester | VT | 01/01/2020 | | 1/1/2020 12:05 AM |
| Details | CHC11353-07 | SPRINGFIELD MEDICAL CARE SYSTEMS INC | Rockingham Health Center | HRSA-Funded Health Center | 1 Hospital Court |
| Bellows Falls | VT | 01/01/2020 | 04/01/2025 | 4/1/2025 12:01 AM |
| Details | CHC11353-09 | SPRINGFIELD MEDICAL CARE SYSTEMS INC | Springfield Health Center | HRSA-Funded Health Center | 100 River St |
| Springfield | VT | 01/01/2020 | | 1/1/2020 12:05 AM |
| Details | CHC11353-10 | SPRINGFIELD MEDICAL CARE SYSTEMS INC | Mountain Valley Health Center | HRSA-Funded Health Center | 38 Vermont Route 11 |
| Londonderry | VT | 01/01/2020 | | 1/1/2020 12:05 AM |
| Details | CHC11353-12 | SPRINGFIELD MEDICAL CARE SYSTEMS INC | Lane Eye Associates | HRSA-Funded Health Center | 441 River Street |
| North Springfield | VT | 01/01/2020 | 04/01/2025 | 4/1/2025 12:01 AM |
| Details | CHC26798-00 | Gifford Health Care, Inc. | Gifford Primary Care | HRSA-Funded Health Center | 44 S. Main St STE 2 |
| Randolph | VT | 01/01/2021 | | 4/13/2023 11:22 AM |
| Details | CHC26798-01 | Gifford Health Care, Inc. | Gifford Primary Care | HRSA-Funded Health Center | 44 S Main St Ste 2 |
| Randolph | VT | 01/01/2021 | 04/01/2024 | 4/1/2024 12:01 AM |
| Details | CHC26798-02 | Gifford Health Care, Inc. | Bethel Health Center | HRSA-Funded Health Center | 1823 Vt Rte 107 Uppr Level |
| Bethel | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CHC26798-03 | Gifford Health Care, Inc. | Chelsea Health Center | HRSA-Funded Health Center | 356 Vt Rte 110 |
| Chelsea | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CHC26798-04 | Gifford Health Care, Inc. | Gifford Health Center at Berlin | HRSA-Funded Health Center | 2418 Airport Rd |
Ste 1
| Barre | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CHC26798-05 | Gifford Health Care, Inc. | Rochester Health Center | HRSA-Funded Health Center | 235 S Main St |
| Rochester | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | CHC26798-07 | Gifford Health Care, Inc. | Kingwood Health Center | HRSA-Funded Health Center | 1422 Vt Route 66 Uppr Level |
| Randolph | VT | 01/01/2021 | | 1/1/2021 12:01 AM |
| Details | DSH470011 | Brattleboro Memorial Hospital | | Disproportionate Share Hospital | 17 Belmont Avenue |
| Brattleboro | VT | 01/01/2019 | 08/01/2023 | 9/1/2023 2:32 PM |
| Details | HM2673 | DARTMOUTH-HITCHCOCK HEMOPHILIA CENTER | | Comprehensive Hemophilia Treatment Center | 1 MEDICAL CENTER DR. |
| LEBANON | NH | 04/01/2022 | | 4/1/2022 12:01 AM |
| Details | HV00812 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part C | Ryan White Part C | One Medical Center Drive |
| Lebanon | NH | 10/25/2022 | | 10/25/2022 1:57 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 | 08/22/2022 | 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 | 08/22/2022 | | 8/22/2022 11:22 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 | 08/22/2022 | | 8/22/2022 11:22 AM |
| Details | HV00812D | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part C | Ryan White Part C | 580 Court Street |
| Keene | NH | 07/01/2024 | | 7/1/2024 12:01 AM |
| Details | RRC300003-00 | MARY HITCHCOCK MEMORIAL HOSPITAL | | Rural Referral Center | ONE MEDICAL CENTER DRIVE |
| LEBANON | NH | 07/01/2018 | 10/15/2020 | 10/16/2020 2:06 PM |
| Details | RRC300019-00 | CHESHIRE MEDICAL CENTER | | Rural Referral Center | 580 COURT STREET |
| KEENE | NH | 07/01/2023 | | 7/1/2023 12:01 AM |
| Details | RRC470012-00 | SOUTHWESTERN VERMONT MEDICAL CENTER | | Rural Referral Center | 100 HOSPITAL DR |
| BENNINGTON | VT | 04/01/2019 | | 4/1/2019 12:05 AM |
| Details | RW431112 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Nashua, Ryan White Part D | Ryan White Part D | 2300 Southwood Drive |
| Nashua | NH | 10/25/2022 | 10/01/2024 | 10/1/2024 12:01 AM |
| Details | RW431112A | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part D | Ryan White Part D | One Medical Center Drive |
| Lebanon | NH | 08/22/2022 | 10/01/2024 | 10/1/2024 12:01 AM |
| Details | RW431112B | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Manchester, Ryan White Part D | Ryan White Part D | 100 Hitchcock Way |
| Manchester | NH | 08/22/2022 | 04/01/2023 | 4/1/2023 12:01 AM |
| Details | RW431112C | Mary Hitchcock Memorial Hospital dba Ryan White Program | Bedford Clinic, Ryan White Part D | Ryan White Part D | 5 Washington Place |
| Bedford | NH | 08/22/2022 | 10/01/2024 | 10/1/2024 12:01 AM |