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CH04211C GEORGIA MOUNTAINS HEALTH SERVICES, INC. (Active)
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Main Details
Name
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Subdivision Name
Ellijay Health and Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036658
340B ID
CH04211C
Grant Number
H80CS00093
Additional Details
Current Program Status
Active
Registration Date
3/8/2007
Participating Start Date
4/1/2007
Participating Approval Date
3/9/2007
Last Recertification Date
2/13/2025
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
80 Cinema Drive
Ellijay, GA 30540-8196
Billing Address
Georgia Mtns Health
165 Blue Ridge Overlook
Blue Ridge, GA 30513
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/16/10 UPDATED PHYS ADD (WAS 526 MADDOX DRIVE, SUITE 101)
12/16/2010
June 2025
June 2025
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