340B Drug Pricing Program Database
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CAH201302-09 Lincoln Hospital (Active)
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Main Details
Name
Lincoln Hospital
Subdivision Name
LMP GENERAL SURGERY
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201302-09
Medicare Provider Number
201302
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/19/2015
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Lincoln Hospital
Wayne R Printy, CFO
(207) 563-4476
Primary Contact
Lincoln Hospital
Karen Philbrick, Pharmacy Director
(207) 563-4487
Addresses
Street Address
24 MILES CENTER WAY
DAMARISCOTTA, ME 04543
Billing Address
LincolnHealth
P.O. Box 745
Newcastle, ME 04553
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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