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CAH471302-03 WINDSOR HOSPITAL CORPORATION D/B/A MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (Terminated)
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Main Details
Name
WINDSOR HOSPITAL CORPORATION D/B/A MT. ASCUTNEY HOSPITAL AND HEALTH CENTER
Subdivision Name
WINDSOR HOSPITAL CORPORATION / Ophthamology
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH471302-03
Medicare Provider Number
471302
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/16/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/14/2015
Last Recertification Date
9/10/2019
Termination Date
Termination Reason
10/1/2020
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Windsor Hospital Corporation DBA MT. Ascutney Hospital and Health Center
David C. Sanville, Chief Financial Officer
(802) 674-7240
Primary Contact
Windsor Hospital Corporation
Jody Wood, CFO Administrative Assistant
(802) 674-7190
Addresses
Street Address
32 PLEASANT ST
WOODSTOCK, VT 05091-1122
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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