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CH04919A BERTIE COUNTY RURAL HEALTH ASSOCIATION (Active)
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Main Details
Name
BERTIE COUNTY RURAL HEALTH ASSOCIATION
Subdivision Name
LEWISTON-WOODVILLE FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004834
340B ID
CH04919A
Grant Number
H80CS00355
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/3/2004
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
Bertie County Rural Health Association
Shavonda Pugh, CEO
(252) 794-1835 Ext: 227
Primary Contact
Bertie County Rural Health Association
Sharon B Lee, Chief Operating Officer
(252) 794-3042
Addresses
Street Address
307 SOUTH MAIN STREET
LEWISTON, NC 27849
Billing Address
BERTIE COUNTY RURAL HEALTH ASSOCIATION
PO BOX 628
WINDSOR, NC 27983
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 10/01/2004
08/12/2005
April 2025
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