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CH01064G NORTHERN COUNTIES HEALTH CARE, INC (Active)
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Main Details
Name
NORTHERN COUNTIES HEALTH CARE, INC
Subdivision Name
CONCORD HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003571
340B ID
CH01064G
Grant Number
H80CS00632
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
4/2/2004
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
201 EAST MAIN STREET
CONCORD, VT 05824-9730
Billing Address
Northern Counties Health Care
165 Sherman Drive
St. Johnsbury, VT 05819-9811
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/12/08 UPDATED MEDICAID #; 11/12/08 UPDATED ENTITY NAME
01/13/2010
April 2025
April 2025
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