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CH04910D NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. (Active)
Main Details
Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
Corinth Health Care Associates
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018462
340B ID
CH04910D
Grant Number
H80CS00635
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) 471-9444
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
2/4/2024
Addresses
Street Address
1415 S. Harper Road
Corinth, MS 38834-3727
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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2/8/07 - UPDATED ADDRESS (WAS 2016 SHILOH ROAD); 2/15/07 - CORRECTED ADDRESS (WAS 3414B EAST SHILOH ROAD)
02/15/2007
May 2024
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