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CH04526K PALMETTO HEALTH COUNCIL, INC (Terminated)
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Main Details
Name
PALMETTO HEALTH COUNCIL, INC
Subdivision Name
Community Medical Center of Greenville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008412
340B ID
CH04526K
Grant Number
H80CS00460
Additional Details
Current Program Status
Terminated
Registration Date
3/1/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/9/2010
Last Recertification Date
1/30/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Palmetto Health Council, Inc.
Jon W. Wollenzien Jr., CEO
(404) 929-8824 Ext: 222
Primary Contact
Palmetto Health Council, Inc.
Isabel Maria Soles, Clinical Director
(404) 929-8824 Ext: 227
Addresses
Street Address
51 Gay Connector
Greenville, GA 30222-3339
Billing Address
PALMETTO HEALTH COUNCIL INC.
643 Main Street
Palmetto, GA 30268
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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