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CH010640 NORTHERN COUNTIES HEALTH CARE, INC (Active)
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Main Details
Name
NORTHERN COUNTIES HEALTH CARE, INC
Subdivision Name
NORTHERN COUNTIES HEALTH CARE, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005349
340B ID
CH010640
Grant Number
H80CS00632
Additional Details
Current Program Status
Active
Registration Date
8/13/2008
Participating Start Date
9/1/2008
Participating Approval Date
8/22/2008
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Northern Counties Health Care
Angela Neil, CFO
(802) 748-9405 Ext: 1599
Primary Contact
Northern Counties Health Care Inc
Michelle Farmer, Accounting Manager
(802) 748-9405
Addresses
Street Address
165 Sherman Dr
Saint Johnsbury, VT 05819-9811
Billing Address
Northern Counties Health Care
165 Sherman Drive
St. Johnsbury, VT 05819-9811
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/12/08 ADDED MEDICAID #; 10/24/08 ADDED BILL TO
01/13/2010
April 2025
April 2025
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