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CH04415M ALBANY AREA PRIMARY HEALTH CARE, INC (Active)
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Main Details
Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
S. Trussell Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009597
340B ID
CH04415M
Grant Number
H80CS00763
Additional Details
Current Program Status
Active
Registration Date
8/20/2010
Participating Start Date
10/1/2010
Participating Approval Date
8/23/2010
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Albany Area Primary Health Care, Inc.
Clifton Miquel Bush, Chief Operating Officer
(229) 888-6559 Ext: 6261
Primary Contact
Albany Area Primary Health Care, Inc
Susan Rakel, Director of 340B and Pharmacy Services
(229) 888-6559 Ext: 6217
Addresses
Street Address
1212 E Union St
Vienna, GA 31092-7545
Billing Address
ALBANY AREA PRIMARY HEALTH CARE, INC
204 N. Westover Blvd
Albany, GA 31707
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/25/11 - Change contact from Heather Combs.
07/25/2011
May 2025
May 2025
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