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CH01511I HEALTH ACCESS NETWORK, INC. (Terminated)
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Main Details
Name
HEALTH ACCESS NETWORK, INC.
Subdivision Name
HAN MILLINOCKET SITE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018566
340B ID
CH01511I
Grant Number
H80CS02450
Additional Details
Current Program Status
Terminated
Registration Date
8/30/2007
Participating Start Date
10/1/2007
Participating Approval Date
9/6/2007
Last Recertification Date
2/3/2021
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
Health Access Network
Wanda T Kimball, Chief Financial Officer
(207) 403-7516
Primary Contact
Health Access Network
Carrie Glidden, EMR Manager/HIPAA Security Officer
(207) 403-7525
Addresses
Street Address
24 Balsam Drive
MILLINOCKET, ME 04462-2110
Billing Address
HEALTH ACCESS NETWORK
PO BOX 99
LINCOLN, ME 04457
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/18/10 UPDATED ZIP (WAS 04457); 8/6/10 UPDATED SUBDIV NAME (WAS MILLINOCKET PRIMARY CARE) AND BILL TO (WAS 51 MAIN STREET, PO BOX 99, LINCOLN, 04457)
11/18/2010
June 2025
June 2025
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