340B Drug Pricing Program Database
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CH04334N CareConnect Health, Inc. (Active)
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Main Details
Name
CareConnect Health, Inc.
Subdivision Name
CareConnect Urgent Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010871
340B ID
CH04334N
Grant Number
H80CS00393
Additional Details
Current Program Status
Active
Registration Date
3/2/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/2/2012
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
CareConnect Health, Inc.
Ajay Gehlot, CEO
(229) 273-8881
Primary Contact
CareConnect Health, Inc.
Lauren Halstead, Operations Manager
(229) 273-8881 Ext: 413
Addresses
Street Address
1805 Tift Avenue North
Suite D
Tifton, GA 31794-3579
Billing Address
CareConnect Health, Inc.
510 ALSTON STREET
Suite B
RICHALND, GA 31825
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/2/12 wet ink signature by Ajay Gehlot dated 2/29/12
03/02/2012
May 2025
May 2025
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