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CH04196Q ALABAMA REGIONAL MEDICAL SERVICES (Terminated)
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Main Details
Name
ALABAMA REGIONAL MEDICAL SERVICES
Subdivision Name
MEDICAL PLAZA/CORPORATE OFFICE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002925
340B ID
CH04196Q
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
2/12/2018
Termination Date
Termination Reason
7/1/2018
Site closure
Contacts
Authorizing Official
Alabama Regional Medical Services
Anthony Gardner, CEO
(205) 212-5653
Primary Contact
Alabama Regional Medical Services
Theresa Foster, Compliance Officer
(205) 407-6952
Addresses
Street Address
1600 20th St S STE E
Birmingham, AL 35205-4939
Billing Address
Birmingham Health Care, Inc.
PO BOX 11523
Birmingham, AL 35202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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