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CAH201313-00 Sebasticook Valley Health (Active)
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Main Details
Name
Sebasticook Valley Health
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201313-00
Medicare Provider Number
201313
Additional Details
Current Program Status
Active
Registration Date
4/5/2011
Participating Start Date
7/1/2011
Participating Approval Date
4/27/2011
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Sebasticook Valley Health
RANDALL CLARK, PRESIDENT
(207) 487-4022
Primary Contact
Sebasticook Valley Hospital
Derek Micheal Nadeau, Director of Pharmacy and Infusion
(207) 487-4007
Addresses
Street Address
447 NORTH MAIN STREET
PITTSFIELD, ME 04967
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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