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CAH471300-00 Grace Cottage Hospital (Active)
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Main Details
Name
Grace Cottage Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH471300-00
Medicare Provider Number
471300
Additional Details
Current Program Status
Active
Registration Date
8/3/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/19/2011
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Grace Cottage Hospital
Stephen A. Brown, CFO
(802) 365-3601 Ext: 120
Primary Contact
Grace Cottage Hospital
Deborah C. Parker, Director of Finance
(802) 365-3617 Ext: 146
Addresses
Street Address
185 Grafton Road
Townshend, VT 05353-0216
Billing Address
Grace Cottage Hospital
P.O.Box 216
Townshend, VT 05353-0216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/16/11- Deleted Medicaid #s(was 471300,473981,1005594)and NPI #s(was 1255337473,1124049960,1205930336)
12/16/2011
May 2025
May 2025
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