340B Drug Pricing Program Database
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RRC300019-00 CHESHIRE MEDICAL CENTER (Active)
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Main Details
Name
CHESHIRE MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC300019-00
Medicare Provider Number
300019
Additional Details
Current Program Status
Active
Registration Date
4/14/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/2/2023
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Cheshire Medical Center
Kathryn Willbarger, COO
(603) 354-5488
Primary Contact
Dartmouth-Hitchcock
Kristin A Chupka, Director - Pharmacy System 340B Program
(603) 656-0945
Addresses
Street Address
580 COURT STREET
KEENE, NH 03431
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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