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CH04211J GEORGIA MOUNTAINS HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Subdivision Name
BLUE RIDGE DENTAL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001724
340B ID
CH04211J
Grant Number
H80CS00093
Additional Details
Current Program Status
Terminated
Registration Date
12/1/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/2/2010
Last Recertification Date
2/9/2018
Termination Date
Termination Reason
7/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Georgia Mountains Health Services, Inc
Steven Miracle, CEO
(706) 946-5610
Primary Contact
Georgia Mtns Health
Randy Westbrook, CFO
(706) 946-5609
Addresses
Street Address
990 E Main St
Blue Ridge, GA 30513-4565
Billing Address
Georgia Mtns Health
165 Blue Ridge Overlook
Blue Ridge, GA 30513
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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