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HIGH MOUNTAIN CORPORATION
CH0112230 COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
Subdivision Name
CHC'S OF RUTLAND REGION, INC.
Type
HRSA-Funded Health Center
340B ID
CH0112230
Entity Address
275 Route 30 N
Bomoseen, VT 05732-9647
Grant Number
H80CS06659
Participating Start Date
7/1/2006
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
HIGH MOUNTAIN CORPORATION
Pharmacy Address
DBA RUTLAND PHARMACY
75 ALLEN ST
RUTLAND, VT 05701-4501
Pharmacy Comments
06/13/2013-Pharmacy name and address changed in error on 3/28/2013
Contract Details
Approval Date
12/5/2011
Contract Begin Date
12/5/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
GRANT WHITMER, EXECUTIVE DIRECTOR
(802) 855-2081
Contract Pharmacy Representative
Steven Hochberg, President
(802) 775-2545
Signed By Date
11/4/2011
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