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CH04526I PALMETTO HEALTH COUNCIL, INC (Active)
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Main Details
Name
PALMETTO HEALTH COUNCIL, INC
Subdivision Name
YourTown Health Carrollton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008649
340B ID
CH04526I
Grant Number
H80CS00460
Additional Details
Current Program Status
Active
Registration Date
3/12/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/12/2008
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Palmetto Health Council, Inc
Tara Brown, Chief Executive Officer
(404) 929-8824 Ext: 365
Primary Contact
Palmetto Health Council, Inc.
Isabel Maria Soles, Clinical Director
(404) 929-8824 Ext: 227
Addresses
Street Address
202 Croft St
Carrollton, GA 30117-3803
Billing Address
PALMETTO HEALTH COUNCIL INC.
643 Main Street
Palmetto, GA 30268
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/16/11 UPDATED PHYS ADD (WAS 115 AMBULANCE DRIVE)
03/16/2011
April 2025
April 2025
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