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CH04245E WHATLEY HEALTH SERVICES, INC. (Active)
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Main Details
Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
SUMTER COUNTY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038818
340B ID
CH04245E
Grant Number
H80CS00094
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
5/13/2004
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Whatley Health Services
David Gay, CEO
(205) 614-6135
Primary Contact
Whatley Health Services
Rajuan Sherman, Chief Financial Officer
(205) 614-6070
Addresses
Street Address
107 HOSPITAL DRIVE
LIVINGSTON, AL 35470
Billing Address
Whatley Health Services, Inc.
P. O. Box 2400
Tuscaloosa, AL 35403-2400
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED ENTITY NAME
05/13/2004
April 2025
April 2025
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