340B Drug Pricing Program Database
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CH045064A KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC. (Active)
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Main Details
Name
KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
Subdivision Name
Little Flower Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021949
340B ID
CH045064A
Grant Number
H80CS07772
Additional Details
Current Program Status
Active
Registration Date
3/11/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/11/2008
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
ELLEN JEAN VANCE, EXECUTIVE DIRECTOR
(606) 487-9505 Ext: 7
Primary Contact
Kentucky Mountain Health Alliance, Inc.
Rebecca Cheek, 340b Auditor
(606) 487-9505
Addresses
Street Address
279 East Main Street
Hazard, KY 41701-1920
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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