340B Drug Pricing Program Database
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CAH301308-02 VALLEY REGIONAL HOSPITAL (Active)
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Main Details
Name
VALLEY REGIONAL HOSPITAL
Subdivision Name
Valley Regional Orthopaedics
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH301308-02
Medicare Provider Number
301308
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/5/2014
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Mt Ascutney Hospital and Health Center
Celeste Pitts, CFO
(603) 542-3421
Primary Contact
Dartmouth-Hitchcock
Kristin A Chupka, Director - Pharmacy System 340B Program
(603) 656-0945
Addresses
Street Address
241A Elm Street
Claremont, NH 03743
Billing Address
Valley Regional Hospital
243 Elm Street
Claremont, NH 03743
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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