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CHC08230-00 NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH INC (Active)
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Main Details
Name
NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH INC
Subdivision Name
THE HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005304
340B ID
CHC08230-00
Grant Number
H80CS08230
Additional Details
Current Program Status
Active
Registration Date
6/7/2010
Participating Start Date
1/1/2007
Participating Approval Date
12/8/2006
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Northeast Washington County Community Health, Inc
Jennifer Ertel-Hickory, COO
(802) 454-8336
Primary Contact
Northeast Washington County Community Health, Inc
JOHN MATTHEW, CEO
(802) 454-8336
Addresses
Street Address
157 Towne Ave
Plainfield, VT 05667-9425
Billing Address
NE Washington County Community Health, Inc.
PO Box 320
157 Towne Ave
Plainfield, VT 05667
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/7/08 ADDED MEDICAID #; 10/17/08 UPDATED BILL TO.(WAS PO BOX 320,PLAINFIELD,05667-0320);10/17/08 ADDED SHIP TO.
06/08/2010
April 2025
April 2025
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