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CH01328C D.F.D. RUSSELL MEDICAL CENTER, INC. (Active)
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Main Details
Name
D.F.D. RUSSELL MEDICAL CENTER, INC.
Subdivision Name
DFD RUSSELL MEDICAL CENTER - BRIDGTON
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032646
340B ID
CH01328C
Grant Number
H80CS00642
Additional Details
Current Program Status
Active
Registration Date
10/12/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/13/2021
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
D.F.D. Russell Medical Center, Inc.
Laurie Kane-Lewis, CEO
(207) 524-4001
Primary Contact
DFD Russell Medical Center
Michele Tanguay, CFO
(207) 524-4004
Addresses
Street Address
25 Hospital Dr
Bridgton, ME 04009-1167
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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