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CH04910Q NORTH MS PRIMARY HEALTH CARE INC (Active)
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Main Details
Name
NORTH MS PRIMARY HEALTH CARE INC
Subdivision Name
NMPHC Holly Springs
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039231
340B ID
CH04910Q
Grant Number
H80CS00635
Additional Details
Current Program Status
Active
Registration Date
11/5/2024
Participating Start Date
1/1/2025
Participating Approval Date
11/6/2024
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
1705 Crescent Meadows Dr
Holly Springs, MS 38635
Billing Address
North Mississippi Primary Healthcare
15921 Boundary Dr
ASHLAND, MS 38663
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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