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NEW ENGLAND LIFE CARE
DSH200024 CENTRAL MAINE MEDICAL CENTER
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Covered Entity Details
Entity Name
CENTRAL MAINE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH200024
Entity Address
300 MAIN STREET
LEWISTON, ME 04240-4500
Medicare Provider Number
200024
Participating Start Date
4/1/2022
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
NEW ENGLAND LIFE CARE
Pharmacy Address
45 CENTER STREET SUITE A
SCARBOROUGH, ME 04074
Pharmacy Comments
Contract Details
Approval Date
2/8/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Contacts
Covered Entity Signing Official
Matthew Cox, CFO
(207) 795-0111
Contract Pharmacy Representative
NE Life Care
Michael Souza, President
(800) 439-7969
Signed By Date
1/2/2013
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