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CAH471304-06 NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC (Active)
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Main Details
Name
NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
Subdivision Name
North Country Pediatrics
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH471304-06
Medicare Provider Number
471304
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/30/2017
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
North Country Hospital
Fred Bernard Schaffner, CFO
(802) 334-7331 Ext: 506
Primary Contact
North Country Hospital
Jillian L Donovan, Pharmacist
(802) 334-3210 Ext: 616
Addresses
Street Address
121 Medical Village Drive
Newport, VT 05855
Billing Address
North Country Hospital
189 Prouty Drive
Newport, VT 05855
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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