Covered Entity Details

CH04415G ALBANY AREA PRIMARY HEALTH CARE, INC (Terminated)

Main Details

Name

ALBANY AREA PRIMARY HEALTH CARE, INC

Subdivision Name

DAWSON MEDICAL CENTER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-000322

340B ID

CH04415G

Grant Number

H80CS00763

Additional Details

Current Program Status

Terminated

Registration Date

4/1/2003

Participating Start Date

4/1/2003

Participating Approval Date

6/11/2010

Last Recertification Date

2/17/2023

Termination Date
Termination Reason

1/1/2024
Site closure

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

420 Johnson St SE
Dawson, GA 39842-1523

Billing Address

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

Comment	Last Updated On
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5/27/2008- UPDATED ADD. (WAS 475 CINDERELLA LANE, SE) 6/11/10 - ADDED BILL TO. 7/25/11 - Change contact from Roosevelt Brown.	07/25/2011
5/27/2008- UPDATED ADD. (WAS 475 CINDERELLA LANE, SE) 6/11/10 - ADDED BILL TO	06/11/2010
5/27/2008- UPDATED ADD. (WAS 475 CINDERELLA LANE, SE) 6/11/10 - ADDED BILL TO	06/11/2010

340B Drug Pricing Program Database