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CH01324G KATAHDIN VALLEY HEALTH CENTER (Active)
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Main Details
Name
KATAHDIN VALLEY HEALTH CENTER
Subdivision Name
KATAHDIN VALLEY HLTH CENTER (Millinocket)
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004734
340B ID
CH01324G
Grant Number
H80CS00488
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
4/26/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Katahdin Valley Health Center
Claudette Humphrey, CEO
(207) 538-3700 Ext: 320
Primary Contact
Katahdin Valley Health Center
Trevor Curt Casey, Corporate Compliance Officer
(207) 538-3700 Ext: 323
Addresses
Street Address
50 Summer St
Millinocket, ME 04462-1400
Billing Address
KATAHDIN VALLEY HEALTH CENTER
529 S Patten Road
PATTEN, ME 04765
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 07/01/05
08/11/2005
May 2025
May 2025
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