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FQHCLA274 GENESIS HEALTH CARE, INC. (Terminated)
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Main Details
Name
GENESIS HEALTH CARE, INC.
Subdivision Name
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-010171
340B ID
FQHCLA274
Grant Number
LALCS00092
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2011
Participating Start Date
1/7/2011
Participating Approval Date
1/7/2011
Last Recertification Date
2/9/2015
Termination Date
Termination Reason
1/1/2016
Change of covered entity type
Contacts
Authorizing Official
Genesis Healthcare, Inc.
Tony R. Megna, CEO
(803) 254-3676
Primary Contact
KATIE NOYES, PRESIDENT, BUSINESS OPERATIONS
(803) 254-3676
Addresses
Street Address
201 CASHUA STREET
DARLINGTON, SC 29532
Billing Address
GENESIS HEALTH CARE, INC.
3400 WEST AVE
COLUMBIA, SC 29203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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