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CH04245C WHATLEY HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
JAMES O. ELLIS HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002151
340B ID
CH04245C
Grant Number
H80CS00094
Additional Details
Current Program Status
Terminated
Registration Date
11/20/2007
Participating Start Date
1/1/2008
Participating Approval Date
11/27/2007
Last Recertification Date
2/8/2022
Termination Date
Termination Reason
7/1/2022
Site closure
Contacts
Authorizing Official
Whatley Health Services
David Gay, CEO
(205) 614-6135
Primary Contact
Whatley Health Services
Rajuan Sherman, Chief Financial Officer
(205) 614-6070
Addresses
Street Address
3532 GREENSBORO AVE.
TUSCALOOSA, AL 35401
Billing Address
WHATLEY HEALTH SERVICES, INC.
PO BOX 2400
TUSCALOOSA, AL 35403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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