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CH06373A BOSTON MOUNTAIN RURAL HEALTH CENTER, INC (Active)
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Main Details
Name
BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Subdivision Name
BMRHC-Clinton Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005186
340B ID
CH06373A
Grant Number
H80CS00641
Additional Details
Current Program Status
Active
Registration Date
1/13/2006
Participating Start Date
4/1/2006
Participating Approval Date
1/17/2006
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Boston Mtn Rural Health Center, Inc.
Becky Blair, CFO
(870) 448-5733 Ext: 2008
Primary Contact
Boston Mtn Rural Health Center, Inc.
Debbie Ackerson, CEO
(870) 448-5733
Addresses
Street Address
465 MEDICAL CENTER PARKWAY
CLINTON, AR 72031
Billing Address
BOSTON MOUNTAIN RURAL HEALTH CENTER, INC.
PO BOX 1030
MARSHALL, AR 72650
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/8/10 ADDED BILL TO
07/08/2010
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