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DSH200063AB PENOBSCOT BAY MEDICAL CENTER (Terminated)
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Main Details
Name
PENOBSCOT BAY MEDICAL CENTER
Subdivision Name
Pen Bay Surgical Skin Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH200063AB
Medicare Provider Number
200063
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/11/2016
Last Recertification Date
8/26/2020
Termination Date
Termination Reason
1/1/2021
Site closure
Contacts
Authorizing Official
Waldo County General Hospital
Linda Drinkwater, CFO
(207) 505-4104
Primary Contact
Waldo County General Hospital
David MacMillan, Director of Pharmacy
(207) 301-8563
Addresses
Street Address
731 Commercial Street
Suite 1
Rockport, ME 04856
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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