340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CHC00333-00 CITIZENS OF LAKE COUNTY FOR HEALTH CARE (Active)
Print
Main Details
Name
CITIZENS OF LAKE COUNTY FOR HEALTH CARE
Subdivision Name
Lake County Primary Care Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008806
340B ID
CHC00333-00
Grant Number
H80CS00333
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
2/10/2025
Contacts
Authorizing Official
citizens of Lake County for Health care Inc.
GAYANNE WILLIAMS, EXECUTIVE DIRECTOR
(731) 253-6690
Primary Contact
Citizens of Lake County for Health Care Inc
Tammi Deason, finance
(731) 253-6690
Addresses
Street Address
710 Carl Perkins Parkway
TIPTONVILLE, TN 38079
Billing Address
Citizens of Lake County for Health Care Inc
710 Carl Perkins Parkway
Tiptonville, TN 38079
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session