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FQHCLA128A HYGEIA FACILITIES FOUNDATION, INC. (Terminated)
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Main Details
Name
HYGEIA FACILITIES FOUNDATION, INC.
Subdivision Name
OCEANA MEDICAL CENTER
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009762
340B ID
FQHCLA128A
Grant Number
LALCS00039
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
3/26/2004
Last Recertification Date
2/15/2023
Termination Date
Termination Reason
7/1/2023
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Hygeia Facilities Foundation, Inc.
Julia Barrett, Chief Financial Officer
(304) 951-1718
Primary Contact
LINCOLN COUNTY PRIMARY CARE CENTER INC
Chris Harper, Director of Pharmacy Services
(304) 824-5806 Ext: 1237
Addresses
Street Address
26 TRINITY LANE
OCEANA, WV 24870
Billing Address
HYGEIA FACILITIES FOUNDATION, INC. - RALEIGH BOONE MEDICAL CENTER
37456 COAL RIVER ROAD
WHITESVILLE, WV 25209-9077
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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