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CAH331311-04 Little Falls Hospital (Active)
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Main Details
Name
Little Falls Hospital
Subdivision Name
West Winfield Health Center - Rural Health Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH331311-04
Medicare Provider Number
331311
Outpatient Facility Provider Number
333996
Additional Details
Current Program Status
Active
Registration Date
9/10/2020
Participating Start Date
9/11/2020
Participating Approval Date
9/11/2020
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Bassett Healthcare Network
James Vielkind, Vice President Finance
(315) 823-5281
Primary Contact
Bassett Healthcare - Cooperstown, NY
Kim Metcalf, Chief Pharmacy Officer
(860) 975-5636
Addresses
Street Address
544 E Main Street
West Winfield, NY 13491-2912
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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