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CAH201300-04 BLUE HILL MEMORIAL HOSPITAL (Active)
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Main Details
Name
BLUE HILL MEMORIAL HOSPITAL
Subdivision Name
Castine Community Health
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201300-04
Medicare Provider Number
201300
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/18/2013
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Maine Coast Hospital
Wendy June Merchant, VP of Finance
(207) 610-2429
Primary Contact
Northern Light Health
Corey Michael Taylor, Director of Pharmacy
(207) 664-5468
Addresses
Street Address
102 Court Street
Castine, ME 04421
Billing Address
Blue Hill Memorial Hospital
57 Water Street
Blue Hill, ME 04614
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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