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GENOA HEALTHCARE LLC
CAH471304-00 NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
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Covered Entity Details
Entity Name
NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471304-00
Entity Address
189 PROUTY DRIVE
NEWPORT, VT 05855
Medicare Provider Number
471304
Participating Start Date
9/28/2010
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
181 CRAWFORD RD RM 130
NEWPORT, VT 05855
Pharmacy Comments
Contract Details
Approval Date
1/17/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tracey L. Paul, CFO
(802) 334-3271 Ext: 271
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/17/2022
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