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CH04895R SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATE (Active)
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Main Details
Name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATE
Subdivision Name
Andalusia Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039321
340B ID
CH04895R
Grant Number
H80CS00376
Additional Details
Current Program Status
Active
Registration Date
3/3/2025
Participating Start Date
4/1/2025
Participating Approval Date
3/5/2025
Last Recertification Date
Contacts
Authorizing Official
Southeast Alabama Rural Health Associates
Pamylon Bowers, CEO
(334) 670-6726
Primary Contact
Southeast Alabama Rural Health Associates
Lori Bullock Pope, Director of Clinical Informatics
(334) 670-6726
Addresses
Street Address
1021 Sanford Rd
Andalusia, AL 36420
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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