340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH200063P PENOBSCOT BAY MEDICAL CENTER (Terminated)
Print
Main Details
Name
PENOBSCOT BAY MEDICAL CENTER
Subdivision Name
Dr. Robert Merrill MD Family Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH200063P
Medicare Provider Number
200063
Outpatient Facility Provider Number
200063
Additional Details
Current Program Status
Terminated
Registration Date
7/5/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/11/2013
Last Recertification Date
8/26/2020
Termination Date
Termination Reason
10/1/2020
Site closure
Contacts
Authorizing Official
Waldo County General Hospital
Linda Drinkwater, CFO
(207) 505-4104
Primary Contact
Waldo County General Hospital
David MacMillan, Director of Pharmacy
(207) 301-8563
Addresses
Street Address
821 Commercial Street, Unit 3
Rockport, ME 04856
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session