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CH04133A R.E.A.C.H.S. COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
R.E.A.C.H.S. COMMUNITY HEALTH CENTER
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004652
340B ID
CH04133A
Grant Number
H80CS00304
Additional Details
Current Program Status
Terminated
Registration Date
6/12/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/12/2006
Last Recertification Date
2/19/2016
Termination Date
Termination Reason
4/1/2016
DSH percentage below statutory minimum
Contacts
Authorizing Official
Community Health of East Tn Inc.
TERESA W. DABNEY, CEO
(423) 563-1032
Primary Contact
Community Health of East Tennessee, Inc
Jada Stanley, COO
(423) 563-1028
Addresses
Street Address
507 MAIN STREET
JACKSBORO, TN 37757
Billing Address
Community Health of East Tennessee
507 MAIN STREET
JACKSBORO, TN 37757
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/3/12 - Changed main address from 502 West Central Ave, Suite 1.
04/03/2012
April 2025
April 2025
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