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BL04060J MOUNTAIN COMPREHENSIVE HEALTH CORP. (Terminated)
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Main Details
Name
MOUNTAIN COMPREHENSIVE HEALTH CORP.
Subdivision Name
HARLAN MEDICAL CENTER
Type
Black Lung Clinics Program
340B ID
BL04060J
Grant Number
H37RH00050
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
1/5/2005
Last Recertification Date
2/8/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Mountain Comprehensive Health Corporation
L.M. Caudill, CEO
(606) 633-4823
Primary Contact
Mountain Comprehensive Health Corporation
Joshua Ricahrdson, 340B Coordinator
(606) 633-4871
Addresses
Street Address
132 VILLAGE CENTER Rd.
HARLAN, KY 40831
Billing Address
MOUNTAIN COMPREHENSIVE HEALTH CORP.
226 Medical Plaza Lane
P.O. Box 40
WHITESBURG, KY 41858
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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