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CAH221303-00 Athol Memorial Hospital (Active)
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Main Details
Name
Athol Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH221303-00
Medicare Provider Number
221303
Additional Details
Current Program Status
Active
Registration Date
1/15/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/22/2013
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Heywood Healthcare
John Bujak, Chief Financial Officer
(978) 630-6202
Primary Contact
Heywood Healthcare
Lori Doucette, 340B Program Director
(978) 630-6161 Ext: 2076298672
Addresses
Street Address
2033 Main St.
Athol, MA 01331
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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