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CH04207C GREATER MERIDIAN HEALTH CLINIC, INC (Active)
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Main Details
Name
GREATER MERIDIAN HEALTH CLINIC, INC
Subdivision Name
WINSTON COUNTY FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014837
340B ID
CH04207C
Grant Number
H80CS00439
Additional Details
Current Program Status
Active
Registration Date
12/1/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/2/2010
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Greater Meridian Health Clinic, Inc.
WILBERT L. JONES, CEO
(601) 693-0151 Ext: 116
Primary Contact
Greater Meridian Health Clinic, Inc.
DEBRA MCALLISTER, Director of Operations
(601) 693-0166
Addresses
Street Address
14130 HWY 15 SOUTH
SUITE D
Louisville, MS 39339
Billing Address
GREATER MERIDIAN HEALTH CLINIC
2701 DAVIS STREET
MERIDIAN, MS 39301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/14/11 REMOVE MEDICAID # (WAS 00030462)
01/14/2011
April 2025
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