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CH04901I EAST GEORGIA HEALTHCARE CENTER, INC. (Terminated)
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Main Details
Name
EAST GEORGIA HEALTHCARE CENTER, INC.
Subdivision Name
East Georgia Healthcare Pediatrics Office
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000068
340B ID
CH04901I
Grant Number
H80CS00512
Additional Details
Current Program Status
Terminated
Registration Date
11/25/2008
Participating Start Date
1/1/2009
Participating Approval Date
11/26/2008
Last Recertification Date
1/27/2017
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
East Georgia Healthcare Center
Jill Sorrells, CFO
(478) 237-6262 Ext: 01214
Primary Contact
East GA Healthcare Inc.
Patricia Galletti, Project Coordinator
(478) 237-6262 Ext: 1836
Addresses
Street Address
125 B Victory Dr
Swainsboro, GA 30401-3234
Billing Address
EAST GEORGIA HEALTHCARE CENTER, INC.
215 N. Coleman St.
SWAINSBORO, GA 30401
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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