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CH04123D OCOEE REGIONAL HEALTH CORPORATION (Active)
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Main Details
Name
OCOEE REGIONAL HEALTH CORPORATION
Subdivision Name
GRUNDY COUNTY PRIMARY CARE CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011188
340B ID
CH04123D
Grant Number
H80CS00762
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
7/1/2015
Participating Approval Date
3/1/2005
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
10120 SR 56
Coalmont, TN 37313-2505
Billing Address
Ocoee Regional Health Corp
PO Box 308
Benton, TN 37307
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/26/15 participating 4/1/05 thru 3/31/13, not participating 4/1/13 thru 6/30/15 due to business decision, reinstated based on on-line registration submitted in April 2015
05/26/2015
NEW SITE 4/1/05
08/12/2005
April 2025
April 2025
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