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CH01064K Northern Counties Health Care, Inc (Active)
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Main Details
Name
Northern Counties Health Care, Inc
Subdivision Name
Northern Express Care St. Johnsbury
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036971
340B ID
CH01064K
Grant Number
H80CS00632
Additional Details
Current Program Status
Active
Registration Date
1/3/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/6/2022
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Northern Counties Health Care
Angela Neil, CFO
(802) 748-9405 Ext: 1599
Primary Contact
Northern Counties Health Care Inc
Michelle Farmer, Accounting Manager
(802) 748-9405
Addresses
Street Address
457 Railroad Street STE 2
St Johnsbury, VT 05819
Billing Address
Northern Counties Health Care
165 Sherman Dr
St Johnsbury, VT 05819
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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