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CH01517B SEBASTICOOK FAMILY DOCTORS (Active)
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Main Details
Name
SEBASTICOOK FAMILY DOCTORS
Subdivision Name
Sebasticook Family Doctors
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002945
340B ID
CH01517B
Grant Number
H80CS02448
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
6/10/2005
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
HOMETOWN Health Center
Robin Winslow, CEO
(207) 368-4213
Primary Contact
HOMETOWN Health Center
Alicia Health Millette, 340B Coordinator
(207) 368-5189 Ext: 1229
Addresses
Street Address
118 MOOSEHEAD TRAIL
STE 5
NEWPORT, ME 04953
Billing Address
SEBASTICOOK FAMILY DOCTORS
118 MOOSEHEAD TRAIL
STE 5
NEWPORT, ME 04953
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/12/10 UPDATED BILL ADD (WAS 72 NORTH ROAD, DETROIT, ME 04929); 10/20/05 UPDATED ADDR (WAS 110 MAIN STREET)
11/12/2010
April 2025
April 2025
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