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CH01458BC PENOBSCOT COMMUNITY HEALTH CENTER, INC (Terminated)
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Main Details
Name
PENOBSCOT COMMUNITY HEALTH CENTER, INC
Subdivision Name
Seaport Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012616
340B ID
CH01458BC
Grant Number
H80CS04291
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/11/2013
Last Recertification Date
2/15/2018
Termination Date
Termination Reason
10/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Penobscot Community Health Center Inc.
Lorelle Dwyer, President & CEO
(207) 992-9200
Primary Contact
Penobscot Community Health Center Inc
Frank R McGrady, Executive Clinical Director of Pharmacy
(207) 992-9200 Ext: 1539
Addresses
Street Address
41 Wight St
Belfast, ME 04915-6054
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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