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CH04910C NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. (Active)
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Main Details
Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
Booneville Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001265
340B ID
CH04910C
Grant Number
H80CS00635
Additional Details
Current Program Status
Active
Registration Date
1/12/2006
Participating Start Date
4/1/2006
Participating Approval Date
1/13/2006
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
North Mississippi Primary Health Care
Bill Stone, CEO
(662) 502-3149
Primary Contact
North Mississippi Primary Health Care, Inc.
Reeca Elliott, 340B Program Coordinator
(662) 502-3150
Addresses
Street Address
208 N 1st St
Booneville, MS 38829-2718
Billing Address
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
PO BOX 92
ASHLAND, MS 38603
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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