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CH0452920 DIVERSITY HEALTH CENTER, INC. (Active)
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Main Details
Name
DIVERSITY HEALTH CENTER, INC.
Subdivision Name
Diversity Health Center, Inc.- Long County
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004378
340B ID
CH0452920
Grant Number
H80CS08780
Additional Details
Current Program Status
Active
Registration Date
10/14/2008
Participating Start Date
10/14/2008
Participating Approval Date
10/14/2008
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Diversity Health Center, Inc.
Stephanie Jones-Heath, CEO
(912) 318-3947 Ext: 15
Primary Contact
Diversity Health Center, Inc.
Shana Fennell, Director of Operations
(912) 318-3947
Addresses
Street Address
213 N McDonald Street STE A & B
Ludowici, GA 31316
Billing Address
Diversity Health Center, Inc.
PO Box 1520
Hinesville, GA 31310
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/23/10 UPDATED PHYS ADD (WAS 17 N MCDONALD ST, SUITES A & B, LUDOWICI, GA)
03/23/2010
April 2025
April 2025
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