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KPH HEALTHCARE SERVICES, INC.
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
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #38
40 COURT STREET
MIDDLEBURY, VT 05753
Pharmacy Comments
5/12/11 UPDATED ADDR (WAS 38 COURT STREET) AT REQUEST OF CE
Contract Details
Approval Date
10/4/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GRANT WHITMER, EXECUTIVE DIRECTOR
(802) 855-2081
Contract Pharmacy Representative
Stephen McCoy, Executive VP
(315) 287-1500 Ext: 2126
Signed By Date
10/4/2016
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