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CH038800 WIRT COUNTY HEALTH SERVICE ASSOCIATION, INC (Active)
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Main Details
Name
WIRT COUNTY HEALTH SERVICE ASSOCIATION, INC
Subdivision Name
Wirt County Family Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002548
340B ID
CH038800
Grant Number
H80CS00256
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
3/10/2004
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Wirt County Health Service Association, INC
Robby Eugene Dudley, CEO
(304) 275-3301
Primary Contact
Wirt County Health Service Association, INC
Scott Price, Pharmacy Director
(304) 868-6050
Addresses
Street Address
483 COURT STREET
ELIZABETH, WV 26143-0609
Billing Address
Wirt County Health Services Association, Inc.
PO Box 609
Elizabeth, WV 26143
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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