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DSH200024AK CENTRAL MAINE MEDICAL CENTER (Terminated)
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Main Details
Name
CENTRAL MAINE MEDICAL CENTER
Subdivision Name
Topsham Endocrinology, Diabetes & Infectious Disease
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH200024AK
Medicare Provider Number
200024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/19/2022
Last Recertification Date
8/25/2024
Termination Date
Termination Reason
4/1/2025
Site closure
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
4 Horton Place
Topsham, ME 04086
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2014; Terminated 1/1/2016; Reinstated 10/1/2022.
08/19/2022
June 2025
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