340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH201301-06 CHARLES A. DEAN MEMORIAL HOSPITAL (Terminated)
Print
Main Details
Name
CHARLES A. DEAN MEMORIAL HOSPITAL
Subdivision Name
CHARLES A. DEAN MEMORIAL HOSPITAL / Wound Care
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201301-06
Medicare Provider Number
201301
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/20/2017
Last Recertification Date
8/28/2020
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
CA Dean
JENNIFER GOODRICH, CFO
(207) 695-5209
Primary Contact
Northern Light CA Dean and Mayo Hospitals
Deidre Gilbert, Regional Director of Pharmacy
(207) 695-5270
Addresses
Street Address
364 PRITHAM AVE
GREENVILLE, ME 04441
Billing Address
Charles A Dean Memorial Hospital
43 Whiting Hill Rd
Brewer, ME 04412
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session