340B Drug Pricing Program Database
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CAH471306-03 SPRINGFIELD HOSPITAL (Active)
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Main Details
Name
SPRINGFIELD HOSPITAL
Subdivision Name
CONNECTICUT VALLEY ORTHOPAEDICS & SPROTS MEDICINE - OTHOPAEDICS
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH471306-03
Medicare Provider Number
471306
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/12/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/2/2022
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Springfield Hospital Pharmacy
Lester G. Peck, Director of Pharmacy
(802) 885-7571
Primary Contact
SPRINGFIELD HOSPITAL
DEBORA BINGHAM-PORTER, PHARMACY COMPLIANCE SPECIALIST / PHARMACY PURCHASING AGENT
(802) 885-7648 Ext: 7648
Addresses
Street Address
29 Ridgewood Rd
Springfield, VT 05156
Billing Address
Springfield Hospital
25 Ridgewood Rd
Springfield, VT 03602
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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