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CH082490 GREEN RIVER MEDICAL CENTER (Active)
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Main Details
Name
GREEN RIVER MEDICAL CENTER
Subdivision Name
GREEN RIVER MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004708
340B ID
CH082490
Grant Number
H80CS00462
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
7/1/2003
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Green River Medical Center, Inc.
Cameron Ellis Willford, Chief Executive Officer
(435) 564-3434
Primary Contact
Green river Medical Center
Chelsey Quintana, Pharmacy Technician
(435) 564-3434
Addresses
Street Address
585 WEST MAIN STREET
GREEN RIVER, UT 84525-0417
Billing Address
Green River Medical Center
PO Box 417
Green River, UT 84525-0417
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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