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CH010450 ISLANDS COMMUNITY MEDICAL SERVICES, INC. (Active)
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Main Details
Name
ISLANDS COMMUNITY MEDICAL SERVICES, INC.
Subdivision Name
ISLANDS COMMUNITY MEDICAL SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000416
340B ID
CH010450
Grant Number
H80CS06657
Additional Details
Current Program Status
Active
Registration Date
3/2/2006
Participating Start Date
10/1/2004
Participating Approval Date
3/2/2006
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Islands Community Medical Services, Inc.
DINAH MOYER, EXECUTIVE DIRECTOR
(207) 863-9071
Primary Contact
Islands Community Medical Services, Inc.
Rachel Slivinsky, Patient Service Representative
(207) 863-4341 Ext: 1105
Addresses
Street Address
15 MEDICAL CENTER LOOP
VINALHAVEN, ME 04863-4104
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/2/06 - REPLACES FQHCLA168
10/08/2009
April 2025
April 2025
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