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CHC11353-05 SPRINGFIELD MEDICAL CARE SYSTEMS INC (Active)
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Main Details
Name
SPRINGFIELD MEDICAL CARE SYSTEMS INC
Subdivision Name
Charlestown Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021139
340B ID
CHC11353-05
Grant Number
H80CS12873
Additional Details
Current Program Status
Active
Registration Date
11/17/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/4/2009
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Springfield Medical Care Systems Inc
Joshua Dufresne, CEO
(802) 886-8961
Primary Contact
Springfield Medical Care Systems, Inc.
Dani Martell, Quality Data Coordinator
(802) 886-8965
Addresses
Street Address
250 Ceda Road
Charlestown, NH 03603
Billing Address
SPRINGFIELD MEDICAL CARE SYSTEMS INC
100 River Street
SPRINGFIELD, VT 05156
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/17/2010 UPDATED GRANT NUMBER (WAS H8ACS11353); 5/7/10 UPDATED BILL TO (WAS CHARLESTOWN FAMILY MEDICINE, P.O. BOX 1118, CHARLESTOWN, NH, 03603);
01/31/2011
May 2025
May 2025
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