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SCH470001-11 Central Vermont Medical Center (Active)
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Main Details
Name
Central Vermont Medical Center
Subdivision Name
UVMHN-CVMC Obstetrics, Midwifery and Gynecology
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH470001-11
Medicare Provider Number
470001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/2/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/8/2010
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Central Vermont Medical Center
Matthew Choate, Vice President Patient Care Services / CNO
(802) 371-4354
Primary Contact
Central Vermont Medical Center
Emily Walsh, Director of Pharmacy
(802) 225-3920
Addresses
Street Address
130 FISHER RD
Medical Office Building A
Suite 1-1
BERLIN, VT 05602
Billing Address
CENTRAL VERMONT MEDICAL CENTER
PO BOX 547
BARRE, VT 05641
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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09/30/10-DOC RECD TO CONFIRM ELIG DSH ADJ%
11/02/2010
May 2025
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