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FQHCLA128 HYGEIA FACILITIES FOUNDATION, INC. (Terminated)
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Main Details
Name
HYGEIA FACILITIES FOUNDATION, INC.
Subdivision Name
RALEIGH BOONE MEDICAL CENTER
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009763
340B ID
FQHCLA128
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
2/27/2023
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
37456 COAL RIVER ROAD
WHITESVILLE, WV 25209
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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