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KPH HEALTHCARE SERVICES, INC.
CAH471307-00 Porter Hospital
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Covered Entity Details
Entity Name
Porter Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471307-00
Entity Address
115 PORTER DRIVE
MIDDLEBURY, VT 05753
Medicare Provider Number
471307
Participating Start Date
9/27/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #103
10212 ROUTE 116
HINESBURG, VT 05461
Pharmacy Comments
Contract Details
Approval Date
4/8/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Karen Beinhaur, CNO
(802) 388-5637
Contract Pharmacy Representative
KPH Health
ETHAN THOMAS, 340B COORDINATOR
(315) 287-3600
Signed By Date
4/8/2019
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