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CH011222C LITTLE RIVERS HEALTH CARE, INC. (Terminated)
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Main Details
Name
LITTLE RIVERS HEALTH CARE, INC.
Subdivision Name
Clara Martin Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012285
340B ID
CH011222C
Grant Number
H80CS06658
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/9/2013
Last Recertification Date
2/5/2020
Termination Date
Termination Reason
1/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Little Rivers Health Care, Inc.
GAIL AUCLAIR, CEO
(802) 222-4637 Ext: 104
Primary Contact
Little Rivers Health Care, Inc.
Joy Smith, Controller
(802) 222-4637 Ext: 106
Addresses
Street Address
1740 Lower Pln
Bradford, VT 05033-8934
Billing Address
Little Rivers Health Care
PO Box 338
Bradford, VT 05033
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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