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CH04278J CAROLINA HEALTH CENTERS, INC. (Terminated)
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Main Details
Name
CAROLINA HEALTH CENTERS, INC.
Subdivision Name
MCCORMICK ELEMENTARY SCHOOL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007235
340B ID
CH04278J
Grant Number
H80CS00785
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/13/2003
Last Recertification Date
2/19/2019
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Carolina Health Centers, Inc.
SUE VEER, CEO
(864) 388-0301 Ext: 68207
Primary Contact
Carolina Health Centers, Inc.
Dominic Mellette, DIRECTOR OF PHARMACY
(864) 554-7102
Addresses
Street Address
6977 HIGHWAY 28 SOUTH
MCCORMICK, SC 29835
Billing Address
CAROLINA HEALTH CENTERS, INC.
313 MAIN ST.
SUITE B
GREENWOOD, SC 29646
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/29/12-Changed authorizing official and primary contact (was DONALD G. BOONE) ADDED ADDITIONAL SHIPPING ADDRESS; 7/23/09 SHIPPING ADDED - 3/23/07 - UPDATED ADDRESS (WAS 615 CLAYTON STREET)
03/29/2012
3/29/12-Changed authorizing official and primary contact (was DONALD G. BOONE); 7/23/09 SHIPPING ADDED - 3/23/07 - UPDATED ADDRESS (WAS 615 CLAYTON STREET)
03/29/2012
7/23/09 SHIPPING ADDED - 3/23/07 - UPDATED ADDRESS (WAS 615 CLAYTON STREET)
07/23/2009
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