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CAH201315-00 MAINEHEALTH STEPHENS HOSPITAL (Active)
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Main Details
Name
MAINEHEALTH STEPHENS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201315-00
Medicare Provider Number
201315
Additional Details
Current Program Status
Active
Registration Date
9/1/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/13/2011
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
MAINEHEALTH Stephens Hospital
Debbie A Gould, CFO
(207) 744-6006
Primary Contact
MAINEHEALTH STEPHENS HOSPITAL
Steven Charles, Director of Pharmacy
(207) 744-6131
Addresses
Street Address
181 Main Street
Norway, ME 04268
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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