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CAH331311-02 Little Falls Hospital (Terminated)
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Main Details
Name
Little Falls Hospital
Subdivision Name
Newport Primary Care Center
Type
Critical Access Hospital
Rural
No
340B ID
CAH331311-02
Medicare Provider Number
331311
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2013
Participating Start Date
2/14/2013
Participating Approval Date
2/13/2013
Last Recertification Date
8/24/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Bassett Healthcare Network
James Vielkind, Vice President Finance
(315) 823-5281
Primary Contact
Bassett Healthcare - Cooperstown, NY
Kim Metcalf, Chief Pharmacy Officer
(860) 975-5636
Addresses
Street Address
3085 Bridge Street
Newport, NY 13416
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/14/13 immediate start date due to public health emergency in NY
02/14/2013
May 2025
May 2025
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