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CAH301308-06 VALLEY REGIONAL HOSPITAL (Terminated)
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Main Details
Name
VALLEY REGIONAL HOSPITAL
Subdivision Name
Valley Family Physicians
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH301308-06
Medicare Provider Number
301308
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/19/2017
Last Recertification Date
8/23/2023
Termination Date
Termination Reason
4/1/2024
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Valley Regional Hospital
Jocelyn Caple, Chief Executive Officer
(603) 542-3454
Primary Contact
Valley Regional Hospital
Joseph Walsh, 340B Analyst
(603) 542-1805
Addresses
Street Address
5 DUNNING ST
STE 1
CLAREMONT, NH 03743-2070
Billing Address
Valley Regional Hospital
243 Elm Street
Claremont, NH 03743
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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