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SCH470001-23 Central Vermont Medical Center (Terminated)
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Main Details
Name
Central Vermont Medical Center
Subdivision Name
GRANITE CITY PRIMARY CARE
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH470001-23
Medicare Provider Number
470001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/7/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/11/2016
Last Recertification Date
9/12/2019
Termination Date
Termination Reason
7/1/2020
Site closure
Contacts
Authorizing Official
Central Vermont Medical Center
Matthew Choate, Vice President Patient Care Services / CNO
(802) 371-4354
Primary Contact
Central Vermont Medical Center
Frank Foti, Director of Pharmacy
(802) 371-5938
Addresses
Street Address
14 NORTH MAIN STREET, SUITE 4002
BARRE, VT 05641
Billing Address
CENTRAL VERMONT MEDICAL CENTER
130 FISHER ROAD
BERLIN, VT 05602
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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