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CAH201308-00 HOULTON REGIONAL HOSPITAL (Active)
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Main Details
Name
HOULTON REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201308-00
Medicare Provider Number
201308
Additional Details
Current Program Status
Active
Registration Date
9/14/2010
Participating Start Date
9/15/2010
Participating Approval Date
9/14/2010
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Houlton Regional Hospital
Aaron Teachout, Chief Financial Officer
(207) 532-2900 Ext: 2142
Primary Contact
Houlton Regional Hospital
Benjamin Bell, Pharmacy Manager
(207) 532-2900 Ext: 2116
Addresses
Street Address
20 HARTFORD STREET
HOULTON, ME 04730
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/5/11 added NPI#
10/05/2011
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