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CH01064L NORTHERN COUNTIES HEALTH CARE INC (Active)
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Main Details
Name
NORTHERN COUNTIES HEALTH CARE INC
Subdivision Name
Orleans Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018115
340B ID
CH01064L
Grant Number
H80CS00632
Additional Details
Current Program Status
Active
Registration Date
7/1/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/1/2022
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
11 Union St
Orleans, VT 05860-1218
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
April 2025
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