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CH04244E FAMILY HEALTH CARE CLINIC, INC. (Active)
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Main Details
Name
FAMILY HEALTH CARE CLINIC, INC.
Subdivision Name
FAMILY HEALTH CARE CLINIC, INC.--MENDENHALL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004916
340B ID
CH04244E
Grant Number
H80CS00487
Additional Details
Current Program Status
Active
Registration Date
5/22/2007
Participating Start Date
7/1/2007
Participating Approval Date
5/23/2007
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Family Health Care Clinic
MARGARET A. GRAY, PRESIDENT & CEO
(601) 825-7280 Ext: 5005
Primary Contact
Family Health Care Clinic
Clinton Mayes, Vice President and COO
(601) 825-7280 Ext: 5003
Addresses
Street Address
401 Main St N
Mendenhall, MS 39114-3303
Billing Address
FAMILY HEALTH CARE CLINIC, INC
PO BOX 24116
JACKSON, MS 39225
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/19/10 REMOVED SHIP TO (WAS FAMILY HEALTH CARE CLINIC, INC, 4635 HIGHWAY 80 EAST, PEARL, MS, 39208);
03/22/2010
May 2025
May 2025
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