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GENOA HEALTHCARE LLC
CAH471302-00 WINDSOR HOSPITAL CORPORATION D/B/A MT. ASCUTNEY HOSPITAL AND HEALTH CENTER
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Covered Entity Details
Entity Name
WINDSOR HOSPITAL CORPORATION D/B/A MT. ASCUTNEY HOSPITAL AND HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471302-00
Entity Address
289 COUNTY ROAD
WINDSOR, VT 05089
Medicare Provider Number
471302
Participating Start Date
7/1/2011
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
52 W PLEASANT ST STE P
CLAREMONT, NH 03743
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Celeste Pitts, CFO
(603) 542-3421
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
10/15/2024
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