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CH04111A FETTER HEALTH CARE NETWORK INC (Active)
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Main Details
Name
FETTER HEALTH CARE NETWORK INC
Subdivision Name
FHCN-JOHNS ISLAND SITE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014185
340B ID
CH04111A
Grant Number
H80CS09088
Additional Details
Current Program Status
Active
Registration Date
1/7/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/9/2015
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Fetter Health Care Network
Aretha Jones, CEO
(843) 722-4112 Ext: 3004
Primary Contact
Fetter Health Care Network
Kevin Patel, Director of Clinical Services
(843) 509-0986
Addresses
Street Address
3627 Maybank Hwy
Johns Island, SC 29455-4825
Billing Address
FETTER HEALTH CARE NETWORK
51 NASSAU ST
CHARLESTON, SC 29403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/9/15 participating 4/1/99 thru 3/31/13, not participating 4/1/13 thru 3/31/15, reinstated based on on-line registration submitted in Jan. 2015
02/09/2015
5/26/04 ADMIN CORRECTION - WAS 340B ID#CH04811B
08/11/2008
April 2025
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