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CH04196C ALABAMA REGIONAL MEDICAL SERVICES (Terminated)
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Main Details
Name
ALABAMA REGIONAL MEDICAL SERVICES
Subdivision Name
Northside Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002980
340B ID
CH04196C
Grant Number
H80CS00020
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
3/15/2005
Last Recertification Date
2/7/2023
Termination Date
Termination Reason
1/1/2024
Site closure
Contacts
Authorizing Official
Alabama Regional Medical Services
Thomas Greer, CEO
(205) 407-6951
Primary Contact
Alabama Regional Medical Services
Theresa Foster, Compliance Officer
(205) 407-6952
Addresses
Street Address
1333 19th St N
Birmingham, AL 35234-2512
Billing Address
Alabama Regional Medical Services - Northside Dental
PO Box 11526
Birmingham, AL 35202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 04/01/05
08/12/2005
May 2025
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