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CAH471304-00 NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC (Active)
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Main Details
Name
NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH471304-00
Medicare Provider Number
471304
Additional Details
Current Program Status
Active
Registration Date
9/24/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/24/2010
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
North Country Hospital
Fred Bernard Schaffner, CFO
(802) 334-7331 Ext: 506
Primary Contact
North Country Hospital
Jillian L Donovan, Pharmacist
(802) 334-3210 Ext: 616
Addresses
Street Address
189 PROUTY DRIVE
NEWPORT, VT 05855
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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