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CAH301312-00 HUGGINS HOSPITAL (Active)
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Main Details
Name
HUGGINS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH301312-00
Medicare Provider Number
301312
Additional Details
Current Program Status
Active
Registration Date
9/23/2010
Participating Start Date
9/29/2010
Participating Approval Date
9/23/2010
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Huggins Hospital
Jeremy Roberge, CEO
(603) 569-7507
Primary Contact
Huggins Hospital
Amilia Nadine Theberge, Clinical Services Business Manager
(603) 515-2065
Addresses
Street Address
240 SOUTH MAIN STREET
WOLFEBORO, NH 03894-0912
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/10/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
May 2025
May 2025
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