340B Drug Pricing Program Database
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CAH201302-01 Lincoln Hospital (Active)
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Main Details
Name
Lincoln Hospital
Subdivision Name
Urgent Care Center
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201302-01
Medicare Provider Number
201302
Outpatient Facility Provider Number
201302
Additional Details
Current Program Status
Active
Registration Date
1/10/2014
Participating Start Date
4/1/2014
Participating Approval Date
3/5/2014
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Lincoln Hospital
Wayne R Printy, CFO
(207) 563-4476
Primary Contact
Lincoln Hospital
Karen Philbrick, Pharmacy Director
(207) 563-4487
Addresses
Street Address
6 St. Andrews Lane
Boothbay Harbor, ME 04538-1731
Billing Address
LincolnHealth
PO Box 417
Boothbay Harbor, ME 04538-0417
Comments
Medicaid Billing
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Contract Pharmacies
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