340B Drug Pricing Program Database
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FQHCLA422E FAITH HEALTHCARE INC (Active)
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Main Details
Name
FAITH HEALTHCARE INC
Subdivision Name
Mount Vernon Community Care
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-037886
340B ID
FQHCLA422E
Grant Number
LALCS40209
Additional Details
Current Program Status
Active
Registration Date
2/14/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/16/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Faith Healthcare, Inc
Morgan Dishman, Chief Pharmacy Officer/340B Program Director
(270) 585-9726
Primary Contact
Faith Healthcare, Inc
Amy Ann Frost, 340B Analyst
(606) 278-5640
Addresses
Street Address
525 Richmond St
Mount Vernon, KY 40456-2718
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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