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CH042110 GEORGIA MOUNTAINS HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Subdivision Name
MORGANTON
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013410
340B ID
CH042110
Grant Number
H80CS00093
Additional Details
Current Program Status
Terminated
Registration Date
9/8/2006
Participating Start Date
10/1/2006
Participating Approval Date
9/11/2006
Last Recertification Date
2/3/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Georgia Mountains Health Services, Inc
Steven Miracle, CEO
(706) 946-5610
Primary Contact
Georgia Mtns Health
Randy Westbrook, CFO
(706) 946-5609
Addresses
Street Address
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/23/10 ADDED SUB-DIV NAME
11/23/2010
April 2025
April 2025
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