340B Drug Pricing Program Database
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CHC08737-01 Roanoke Chowan Community Health Center, Inc. (Active)
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Main Details
Name
Roanoke Chowan Community Health Center, Inc.
Subdivision Name
Ahoskie Comprehensive Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012353
340B ID
CHC08737-01
Grant Number
H80CS08737
Additional Details
Current Program Status
Active
Registration Date
6/7/2010
Participating Start Date
7/1/2005
Participating Approval Date
6/3/2005
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Roanoke Chowan Community Health Center
Ansley Kyle Lassiter, 340b Program Coordinator
(252) 332-3548 Ext: 7211
Primary Contact
Roanoke Chowan Community Health Center, Inc
Angela Mitchell, Pharmacy Director
(252) 209-0237 Ext: 7293
Addresses
Street Address
120 Health Center Drive
Ahoskie, NC 27910-8131
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/7/10 CONVERTED FROM FQHCLA186A TO CHC STATUS; 6/8/10 UPDATED BILL TO (WAS 113B)
06/09/2010
April 2025
April 2025
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