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DSH200034 St. Mary's Regional Medical Center (Active)
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Main Details
Name
St. Mary's Regional Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH200034
Medicare Provider Number
200034
Additional Details
Current Program Status
Active
Registration Date
5/9/2008
Participating Start Date
10/1/2002
Participating Approval Date
5/9/2008
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
St. Mary's Regional Medical Center
Winfield S Brown, President
(207) 777-8802
Primary Contact
St. Mary's Regional Medical Center
Timothy Macleod, 340B Analyst
(207) 358-8328
Addresses
Street Address
93 Campus Avenue
Lewiston, ME 04240-6030
Billing Address
St. Mary's Regional Medical Center
P. O. Box 291
93 Campus Avenue
Lewiston, ME 04243-0291
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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