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CAH201313-07 Sebasticook Valley Health (Active)
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Main Details
Name
Sebasticook Valley Health
Subdivision Name
Northern Light OB/GYN - OB/GYN
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH201313-07
Medicare Provider Number
201313
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/28/2022
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Sebasticook Valley Health
RANDALL CLARK, PRESIDENT
(207) 487-4022
Primary Contact
Sebasticook Valley Hospital
Derek Micheal Nadeau, Director of Pharmacy and Infusion
(207) 487-4007
Addresses
Street Address
425 North Main Street
Pittsfield, ME 04967
Billing Address
Sebasticook Valley Health
447 North Main Street
Pittsfield, ME 04967
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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