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CH04123I OCOEE REGIONAL HEALTH CORPORATION (Active)
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Main Details
Name
OCOEE REGIONAL HEALTH CORPORATION
Subdivision Name
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 HWY 411
BENTON, TN 37307-4818
Billing Address
Ocoee Regional Health Corporation
PO Box 308
Benton, TN 37307
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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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
May 2025
May 2025
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