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CH04415E ALBANY AREA PRIMARY HEALTH CARE, INC (Active)
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Main Details
Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
RURAL HIV CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003053
340B ID
CH04415E
Grant Number
H80CS00763
Additional Details
Current Program Status
Active
Registration Date
4/1/2003
Participating Start Date
4/1/2003
Participating Approval Date
6/11/2010
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
2202 E Oglethorpe Blvd
Albany, GA 31705-2940
Billing Address
ALBANY AREA PRIMARY HEALTH CARE, INC
204 N. WESTOVER BLVD.
ALBANY, GA 31707
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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06/11/10 ADDED BILL TO. 7/25/11 - Change contact from Roosevelt Brown.
07/25/2011
06/11/10 ADDED BILL TO
06/11/2010
May 2025
May 2025
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