Covered Entity Details

CH04123I OCOEE REGIONAL HEALTH CORP (Active)

Main Details

Name

OCOEE REGIONAL HEALTH CORP

Subdivision Name

Ocoee Regional Health Corporation, Benton Family Health Care Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-012074

340B ID

CH04123I

Grant Number

H80CS00762

Additional Details

Current Program Status

Active

Registration Date

4/1/2005

Participating Start Date

7/1/2015

Participating Approval Date

6/17/2005

Last Recertification Date

2/28/2025

Contacts

Authorizing Official

Ocoee Regional Health Corp.
BILL MOATS, CEO
(423) 338-8995 Ext: 1212

Primary Contact

Ocoee Regional Health Corporation
Chandler Lauren Blakely, Chief Financial Officer
(423) 338-8995 Ext: 1205

Addresses

Street Address

6784 Highway 411
Benton, TN 37307-4818

Billing Address

Ocoee Regional Health Corporation
PO Box 308
Benton, TN 37307

Comment	Last Updated On
1 Item 1 to 2 of 2 Page: of 1 Page size:

1 Item 1 to 2 of 2 Page: of 1 Page size:
5/22/15 participating 4/1/05 thru 3/31/13, not participating 4/1/13 thru 6/30/15 (business decision by covered entity), reinstated based on on-line registration submitted in April 2015; 6/17/05 - ADDED 126 POLK STREET TO ADDRESS	05/22/2015
NEW SITE 4/01/05, 6/17/05 - ADDED 126 POLK STREET TO ADDRESS	08/12/2005

340B Drug Pricing Program Database