340B Drug Pricing Program Database
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CAH471302-04 WINDSOR HOSPITAL CORPORATION D/B/A MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (Active)
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Main Details
Name
WINDSOR HOSPITAL CORPORATION D/B/A MT. ASCUTNEY HOSPITAL AND HEALTH CENTER
Subdivision Name
WINDSOR HOSPITAL CORPORATION-Ophthalmology
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH471302-04
Medicare Provider Number
471302
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/16/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/14/2015
Last Recertification Date
8/29/2024
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
80S MAIN ST
HANOVER, NH 03755-2053
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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