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CH04471W FRANKLIN PRIMARY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Subdivision Name
H.E. SAVAGE CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002731
340B ID
CH04471W
Grant Number
H80CS00099
Additional Details
Current Program Status
Terminated
Registration Date
11/10/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/3/2009
Last Recertification Date
2/11/2019
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Franklin Primary Health Center
Charles White, Chief Executive Officer
(251) 434-8188
Primary Contact
Franklin Primary Health Center Inc.
Machelle Burke, Director of Pharmacy
(251) 436-7676
Addresses
Street Address
553 Dauphin St
Mobile, AL 36602-2109
Billing Address
FRANKLIN PRIMARY HEALTH CENTER
1303 DR. MARTIN LUTHER KING, JR. AVENUE
MOBILE, AL 36603
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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