340B Drug Pricing Program Database
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CAH201310-00 BRIDGTON HOSPITAL (Active)
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Main Details
Name
BRIDGTON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH201310-00
Medicare Provider Number
201310
Additional Details
Current Program Status
Active
Registration Date
8/27/2010
Participating Start Date
8/31/2010
Participating Approval Date
8/30/2010
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Central Maine Healthcare
Steve Littleson, Interim President & CEO
(207) 795-2947
Primary Contact
Central Maine Healthcare
Marcia Gooden, 340B Program Manager
(207) 795-2325
Addresses
Street Address
10 HOSPITAL DRIVE
BRIDGTON, ME 04009
Billing Address
Central Maine Healthcare
29 Lowell Street
Attn: Pamela Cook
STE 3
Lewiston, ME 04240
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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