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CH04089G PIEDMONT HEALTH SERVICES, INC. (Active)
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Main Details
Name
PIEDMONT HEALTH SERVICES, INC.
Subdivision Name
SILER CITY COMMUNITY HEALTH CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003107
340B ID
CH04089G
Grant Number
H80CS00086
Additional Details
Current Program Status
Active
Registration Date
10/1/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/8/2005
Last Recertification Date
3/7/2025
Contacts
Authorizing Official
Piedmont Health Services
Daniella Jaimes-Colina, Chief Executive Officer
(984) 358-4691
Primary Contact
Piedmont Health Services
Kelly B Stout, Chief Pharmacy Officer
(919) 537-7493
Addresses
Street Address
224 S 10th Ave
Siler City, NC 27344
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/22/10 UPDATED PHYS ADD (WAS 401B N IVEY AVENUE, SILER CITY, NC), ADDED BILLING ADD; 1/5/07 UPDATED MEDICAID # (WAS 344503B)
03/22/2010
May 2025
May 2025
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