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MAINEHEALTH
CAH301307-00 MaineHealth Memorial Hospital
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Covered Entity Details
Entity Name
MaineHealth Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301307-00
Entity Address
3073 White Mountain Hwy
North Conway, NH 03860-7101
Medicare Provider Number
301307
Participating Start Date
10/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MAINEHEALTH
Pharmacy Address
MAINEHEALTH PHARMACY MAINE MEDICAL CENTE
22 BRAMHALL ST
PORTLAND, ME 04102
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diana J. McLaughlin, Chief Financial Officer
(603) 356-0613 Ext: 2537
Contract Pharmacy Representative
Maine Medical Center
Andrea Lai, Director of Ambulatory Care Pharmacy Services
(207) 662-5366
Signed By Date
10/13/2021
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