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CHC11353-12 SPRINGFIELD MEDICAL CARE SYSTEMS INC (Terminated)
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Main Details
Name
SPRINGFIELD MEDICAL CARE SYSTEMS INC
Subdivision Name
Lane Eye Associates
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017525
340B ID
CHC11353-12
Grant Number
H80CS12873
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/30/2016
Last Recertification Date
1/30/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
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
441 River Street
North Springfield, VT 05150-9756
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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May 2025
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