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CH04910N NORTH MS PRIMARY HEALTH CARE INC (Active)
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Main Details
Name
NORTH MS PRIMARY HEALTH CARE INC
Subdivision Name
James D Nunnally Center for Community Health Excellence
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035233
340B ID
CH04910N
Grant Number
H80CS00635
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/16/2024
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
North Mississippi Primary Health Care
Bill Stone, CEO
(662) 502-3149
Primary Contact
North Mississippi Primary Health Care, Inc.
Reeca Elliott, 340B Program Coordinator
(662) 502-3150
Addresses
Street Address
751 S Line St
Ripley, MS 38663-2811
Billing Address
North Mississippi Primary Health Care, Inc.
PO Box 92
ASHLAND, MS 38603
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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