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SCH470001-24 Central Vermont Medical Center (Terminated)
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Main Details
Name
Central Vermont Medical Center
Subdivision Name
Waterbury Express Care
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH470001-24
Medicare Provider Number
470001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/3/2017
Last Recertification Date
9/13/2019
Termination Date
Termination Reason
10/1/2020
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
76 MCNEIL RD, SUITE 2
CVMC EXPRESS CARE
WATERBURY CENTER, VT 05677
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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