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CH048870 OUTREACH HEALTH SERVICES INC (Active)
Main Details
Name
OUTREACH HEALTH SERVICES INC
Subdivision Name
OUTREACH HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002130
340B ID
CH048870
Grant Number
H80CS00775
Contacts
Authorizing Official
Outreach Health Services, Inc
SABRINA HOWZE, CEO
(601) 687-5859
Primary Contact
Outreach Health Services, Inc.
Debra Dunn, Clinical Coordinator
(601) 687-1391
Additional Details
Current Program Status
Active
Registration Date
9/13/2005
Participating Start Date
9/13/2005
Participating Approval Date
9/13/2005
Last Recertification Date
2/12/2024
Addresses
Street Address
130 NORTH HIGH STREET
SHUBUTA, MS 39360-0527
Billing Address
OUTREACH HEALTH SERVICES, INC.
P.O. BOX 527
SHUBUTA, MS 39360
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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