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DSH200009GG MAINEHEALTH MAINE MEDICAL CENTER (Approved)
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Main Details
Name
MAINEHEALTH MAINE MEDICAL CENTER
Subdivision Name
MaineHealth Maine Medical Center Biddeford Emergency Department Radiology Ultrasound - Emergency Care Radiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH200009GG
Medicare Provider Number
200009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/10/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/21/2025
Last Recertification Date
Contacts
Authorizing Official
MaineHealth
Chris Coon, Southern Region Vice President, Finance
(207) 662-6213
Primary Contact
MaineHealth
BRIAN MARDEN, Chief Pharmacy Officer
(207) 661-3057
Addresses
Street Address
1 Medical Center Dr
Biddeford, ME 04005
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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