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CHC00458-01 SACOPEE VALLEY HEALTH CENTER (Active)
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Main Details
Name
SACOPEE VALLEY HEALTH CENTER
Subdivision Name
Sacopee Valley Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036336
340B ID
CHC00458-01
Grant Number
H80CS00458
Additional Details
Current Program Status
Active
Registration Date
4/4/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/5/2023
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Sacopee Valley Health Center
Michelle Eastman, Chief Financial Officer
(207) 625-2235
Primary Contact
Sacopee Valley Health Center
Aleece M Daleo, Compliance Officer
(207) 625-2210
Addresses
Street Address
202 Maple St UNIT E
Cornish, ME 04020-3147
Billing Address
Sacopee Valley Health Center
70 Main Street
Porter, ME 04068
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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