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CHC00396-00 FISH RIVER RURAL HEALTH (Active)
Main Details
Name
FISH RIVER RURAL HEALTH
Subdivision Name
EAGLE LAKE HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002678
340B ID
CHC00396-00
Grant Number
H80CS00396
Contacts
Authorizing Official
Fish River Rural Health
Heather A Pelletier, CEO
(207) 444-5973 Ext: 218
Primary Contact
Fish River Rural Health
Jane M Dubois, Director of Finance & Operations
(207) 444-5973 Ext: 214
Additional Details
Current Program Status
Active
Registration Date
7/14/2010
Participating Start Date
10/1/2010
Participating Approval Date
7/23/2010
Last Recertification Date
2/2/2024
Addresses
Street Address
10 CARTER STREET
EAGLE LAKE, ME 04739
Billing Address
FISH RIVER RURAL HEALTH
PO BOX 309
EAGLE LAKE, ME 04739
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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