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CHC26640-00 MID-STATE HEALTH CENTER (Active)
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Main Details
Name
MID-STATE HEALTH CENTER
Subdivision Name
Mid-State Health Center Plymouth
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013322
340B ID
CHC26640-00
Grant Number
H80CS26640
Additional Details
Current Program Status
Active
Registration Date
1/15/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/15/2014
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
MSHC
Robert John MacLeod, CEO
(603) 536-4000
Primary Contact
Mid-State Health Center
William Sweeney, COO
(603) 536-4000 Ext: 1002
Addresses
Street Address
101 Boulder Point Dr STE 1
Plymouth, NH 03264-3170
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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