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DSH200024AQ CENTRAL MAINE MEDICAL CENTER (Terminated)
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Main Details
Name
CENTRAL MAINE MEDICAL CENTER
Subdivision Name
AUGUSTA INTERNAL MEDICINE - Internal Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH200024AQ
Medicare Provider Number
200024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/25/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/26/2022
Last Recertification Date
Termination Date
Termination Reason
7/1/2022
Site closure
Contacts
Authorizing Official
Central Maine Healthcare
Steve Littleson, Interim President & CEO
(207) 795-2947
Primary Contact
Central Maine Healthcare
Martha Edwards Maunsell, Director of Reimbursement
(207) 795-2154
Addresses
Street Address
12 SPRUCE STREET STE 7
AUGUSTA, ME 04330-5204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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