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CH031260 SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC. (Active)
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Main Details
Name
SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
Subdivision Name
DBA HENRIETTA JOHNSON MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001099
340B ID
CH031260
Grant Number
H80CS00385
Additional Details
Current Program Status
Active
Registration Date
10/13/2005
Participating Start Date
10/13/2005
Participating Approval Date
10/13/2005
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Southbridge Medical Advisory Council dba Henrietta Johnson Medical Center
Shay Scott, CEO
(302) 655-6187 Ext: 230
Primary Contact
Southbridge Medical Advisory Council, dba Henrietta Johnson Medical Center
Deborah M. Parker, Chief Operating Officer
(302) 655-6187 Ext: 235
Addresses
Street Address
601 NEW CASTLE AVENUE
WILMINGTON, DE 19801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/18/11 - Changed contact person from ALLIE SETHMAN.
11/18/2011
April 2025
April 2025
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