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CH04901M EAST GEORGIA HEALTHCARE CENTER, INC. (Terminated)
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Main Details
Name
EAST GEORGIA HEALTHCARE CENTER, INC.
Subdivision Name
Statesboro Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008988
340B ID
CH04901M
Grant Number
H80CS00512
Additional Details
Current Program Status
Terminated
Registration Date
9/14/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/18/2009
Last Recertification Date
1/27/2017
Termination Date
Termination Reason
4/1/2017
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
1570 Brampton Ave
Statesboro, GA 30458-5102
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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