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CAH201309-00 MRH Corp. DBA Northern Light Mayo Hospital (Active)
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Main Details
Name
MRH Corp. DBA Northern Light Mayo Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201309-00
Medicare Provider Number
201309
Additional Details
Current Program Status
Active
Registration Date
8/9/2010
Participating Start Date
9/22/2010
Participating Approval Date
8/9/2010
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
MRH Corp.
Jennifer Goodrich, Vice President of Finance
(207) 316-7189
Primary Contact
Northern Light CA Dean and Mayo Hospitals
Deidre Gilbert, Regional Director of Pharmacy
(207) 695-5270
Addresses
Street Address
897 WEST MAIN STREET
DOVER FOXCROFT, ME 04426-1029
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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