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CH04522A RURAL HEALTH SERVICES INC (Active)
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Main Details
Name
RURAL HEALTH SERVICES INC
Subdivision Name
Clyburn Center for Primary Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011343
340B ID
CH04522A
Grant Number
H80CS00653
Additional Details
Current Program Status
Active
Registration Date
12/1/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/4/2009
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Rural Health Services INC
Donald Branum, CEO
(803) 380-7010
Primary Contact
Rural Health Services
Kyle Herbert, CFO
(803) 380-7011
Addresses
Street Address
1000 Clyburn Place
Aiken, SC 29801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/12/14 change request rejected because there was no ACTIVE site in EHB with that address
11/12/2014
April 2025
April 2025
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