340B Drug Pricing Program Database
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RRC470012-10 SOUTHWESTERN VERMONT MEDICAL CENTER (Active)
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Main Details
Name
SOUTHWESTERN VERMONT MEDICAL CENTER
Subdivision Name
SVMC GENERAL SURGERY
Type
Rural Referral Center
Rural
Yes
340B ID
RRC470012-10
Medicare Provider Number
470012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/4/2016
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
SVHC
Robert Laba, Chief Financial Officer
(802) 447-5011
Primary Contact
Dartmouth-Hitchcock
Kristin A Chupka, Director - Pharmacy System 340B Program
(603) 656-0945
Addresses
Street Address
140 HOSPITAL DRIVE, SUITE 205
BENNINGTON, VT 05201-5015
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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