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CH04211V GEORGIA MOUNTAINS HEALTH SERVICES INC (Active)
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Main Details
Name
GEORGIA MOUNTAINS HEALTH SERVICES INC
Subdivision Name
Healthy Kids + Lumpkin
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036891
340B ID
CH04211V
Grant Number
H80CS00093
Additional Details
Current Program Status
Active
Registration Date
1/9/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/29/2025
Last Recertification Date
Contacts
Authorizing Official
Georgia Mountains Health Services, Inc
Steven Miracle, CEO
(706) 946-5610
Primary Contact
Georgia Mtns Health
Randy Westbrook, CFO
(706) 946-5609
Addresses
Street Address
153 School Dr
Dahlonega, GA 30533-0313
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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