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CHC11353-10 SPRINGFIELD MEDICAL CARE SYSTEMS INC (Active)
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Main Details
Name
SPRINGFIELD MEDICAL CARE SYSTEMS INC
Subdivision Name
Mountain Valley Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017440
340B ID
CHC11353-10
Grant Number
H80CS12873
Additional Details
Current Program Status
Active
Registration Date
7/11/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/15/2016
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Springfield Medical Care Systems Inc
Joshua Dufresne, CEO
(802) 886-8961
Primary Contact
Springfield Medical Care Systems, Inc.
Dani Martell, Quality Data Coordinator
(802) 886-8965
Addresses
Street Address
38 Vermont Route 11
Londonderry, VT 05148-9555
Billing Address
Springfield Medical Care Systems Inc
100 River Street
Springfield, VT 05156
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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