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CAH301309-04 MONADNOCK COMMUNITY HOSPITAL (Active)
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Main Details
Name
MONADNOCK COMMUNITY HOSPITAL
Subdivision Name
Anticoag Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH301309-04
Medicare Provider Number
301309
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/23/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/20/2012
Last Recertification Date
9/8/2024
Contacts
Authorizing Official
Monadnock Community Hospital
Richard Scheinblum, CFO
(603) 924-4699 Ext: 1738
Primary Contact
Monandock Community Hospital
Rochelle Sokol, Controller
(603) 924-1739
Addresses
Street Address
454 Old Street Road
Suite 301
Peterborough, NH 03458
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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