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CHC00396-01 FISH RIVER RURAL HEALTH (Active)
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Main Details
Name
FISH RIVER RURAL HEALTH
Subdivision Name
Fort Kent Health Education & Training Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012310
340B ID
CHC00396-01
Grant Number
H80CS00396
Additional Details
Current Program Status
Active
Registration Date
7/14/2010
Participating Start Date
10/1/2010
Participating Approval Date
7/28/2010
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Fish River Rural Health
Heather A Pelletier, Executive Director/CEO
(207) 444-5973 Ext: 218
Primary Contact
Fish River Rural Health
Jane M Dubois, Director of Finance & Human Resources
(207) 444-5973 Ext: 214
Addresses
Street Address
3 Mountainview Dr
Fort Kent, ME 04743-1614
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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Address is not listed in EHB as an approved site, contact BPHC project officer to submit a change of scope. Request will not be approved by OPA until information is updated in EHB.
10/10/2012
May 2025
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