Covered Entity Details

CH04415D ALBANY AREA PRIMARY HEALTH CARE, INC (Active)

Main Details

Name

ALBANY AREA PRIMARY HEALTH CARE, INC

Subdivision Name

Baker County Primary Health Care

Type

HRSA-Funded Health Center

Site ID

BPS-H80-004105

340B ID

CH04415D

Grant Number

H80CS00763

Additional Details

Current Program Status

Active

Registration Date

4/1/2003

Participating Start Date

4/1/2003

Participating Approval Date

5/24/2010

Last Recertification Date

2/18/2025

Contacts

Authorizing Official

Albany Area Primary Health Care, Inc.
Clifton Miquel Bush, Chief Operating Officer
(229) 888-6559 Ext: 6261

Primary Contact

Albany Area Primary Health Care, Inc
Susan Rakel, Director of 340B and Pharmacy Services
(229) 888-6559 Ext: 6217

Addresses

Street Address

327 Sunset Avenue, SW STE 3
NEWTON, GA 39870-0000

Billing Address

ALBANY AREA PRIMARY HEALTH CARE, INC
204 N. WESTOVER BLVD.
ALBANY, GA 31707-2983

Comment	Last Updated On
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1 Item 1 to 2 of 2 Page: of 1 Page size:
6/8/10 ADDED BILL TO; 5/24/10 UPDATED SUBDIV NAME (WAS BAKER CO. PRIMARY HEALTH CARE CENTER) AND ADDR (WAS 100 SUNSET BLVD.); 7/25/11 - Change contact from Roosevelt Brown.	07/25/2011
6/8/10 ADDED BILL TO; 5/24/10 UPDATED SUBDIV NAME (WAS BAKER CO. PRIMARY HEALTH CARE CENTER) AND ADDR (WAS 100 SUNSET BLVD.);	06/09/2010

340B Drug Pricing Program Database