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CH04895D SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (Active)
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Main Details
Name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Subdivision Name
ENTERPRISE CHILDREN'S CENTER AND FAMILY MEDICINE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001542
340B ID
CH04895D
Grant Number
H80CS00376
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
11/7/2004
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Southeast Alabama Rural Health Associates
Pamylon Bowers, Chief Executive Officer
(334) 670-6726 Ext: 173
Primary Contact
Southeast Alabama Rural Health Associates
Lori Bullock Pope, Director of Clinical Informatics
(334) 670-6726
Addresses
Street Address
105 E Watts St
Enterprise, AL 36330-2511
Billing Address
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA) - ADMINISTRATIVE OFFICE
1414 ELBA HIGHWAY
TROY, AL 36079
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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08/12/2005
May 2025
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