340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH200024T CENTRAL MAINE MEDICAL CENTER (Active)
Print
Main Details
Name
CENTRAL MAINE MEDICAL CENTER
Subdivision Name
Central Maine Gastroenterology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH200024T
Medicare Provider Number
200024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/25/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/26/2022
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Central Maine Healthcare
Steve Littleson, Interim President & CEO
(207) 795-2947
Primary Contact
Central Maine Healthcare
Marcia Gooden, 340B Program Manager
(207) 795-2325
Addresses
Street Address
77 Bates Street
STE 202
Lewiston, ME 04240
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating from effective date: (4/1/2014) until terminated effective date: (1/1/2016), reinstatement effective date: (4/1/2022)
01/26/2022
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
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