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CAH201312-00 WALDO COUNTY GENERAL HOSPITAL (Active)
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Main Details
Name
WALDO COUNTY GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201312-00
Medicare Provider Number
201312
Additional Details
Current Program Status
Active
Registration Date
8/9/2010
Participating Start Date
9/9/2010
Participating Approval Date
9/7/2010
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Coastal Healthcare Alliance
Heather Shanklin, Chief Financial Officer
(207) 505-4131
Primary Contact
Coastal Health Alliance, MaineHealth
David MacMillan, Pharmacy Director
(207) 301-8563
Addresses
Street Address
118 NORTHPORT AVENUE
BELFAST, ME 04915
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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