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UNIVERSITY OF VERMONT MEDICAL CENTER
SCH470001-00 Central Vermont Medical Center
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Covered Entity Details
Entity Name
Central Vermont Medical Center
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH470001-00
Entity Address
130 FISHER ROAD
BERLIN, VT 05602
Medicare Provider Number
470001
Participating Start Date
9/30/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
UNIVERSITY OF VERMONT MEDICAL CENTER
Pharmacy Address
OUTPATIENT PHARMACY
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Choate, Vice President Patient Care Services / CNO
(802) 371-4354
Contract Pharmacy Representative
University of Vermont Medical Center
Nate Awrich, Network Director, Pharmacy Supply Chain
(802) 847-3605
Signed By Date
10/14/2019
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