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CHC00630-00 EASTPORT HEALTH CARE INC (Active)
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Main Details
Name
EASTPORT HEALTH CARE INC
Subdivision Name
EASTPORT HEALTH CARE, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000601
340B ID
CHC00630-00
Grant Number
H80CS00630
Additional Details
Current Program Status
Active
Registration Date
4/13/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/12/2015
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Eastport Health Care
Ellen M Krajewski, CEO
(207) 853-4045
Primary Contact
Eastport Health Care Inc
Wanda Matthews, CFO
(207) 853-6001 Ext: 141
Addresses
Street Address
30 Boynton St
Eastport, ME 04631-1306
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/11/15 A reinstatement registration for CHC00630-00 (Eastport Health Care at 30 Boynton St, Eastport) was approved on 5/12/15 with a 7/1/15 start date. Subsequently, due to a database glitch regarding how reinstatements are handled, the same record (with CEID 22410) was overwritten in error with the info for registration CHC00630-02 and then CHC00630-03). Today (9/11/15) this is being corrected by setting this record back to the values for the 340B ID CHC00630-00. Since the covered entity got a registration approval e-mail on 5/12/15 stating that CHC00630-00 was approved with a start date of 7/1/15, with today's fix OPA is setting the start date to 7/1/15; 5/12/15 CE reinstated effective 7/1/2015, participating from 10/01/2009 to 3/31/2013, not participating from 4/01/2013 to 6/30/2015 due to failure to recertify;
09/11/2015
5/12/15 CE reinstated effective 7/1/2015, participating from 10/01/2009 to 3/31/2013, not participating from 4/01/2013 to 6/30/2015 due to failure to recertify
05/12/2015
April 2025
April 2025
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