340B Drug Pricing Program Database
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DSH200024AX CENTRAL MAINE MEDICAL CENTER (Active)
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Main Details
Name
CENTRAL MAINE MEDICAL CENTER
Subdivision Name
CENTRAL MAINE SURGICAL ONCOLOGY - SURGICAL ONCOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH200024AX
Medicare Provider Number
200024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/27/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/31/2022
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Central Maine Healthcare
Steve Littleson, Interim President & CEO
(207) 795-2947
Primary Contact
Central Maine Healthcare
Marcia Gooden, 340B Program Manager
(207) 795-2325
Addresses
Street Address
17 HIGH STREET
STE 1A
LEWISTON, ME 04240
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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