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CH061220B Healthy Connections, Inc. (Terminated)
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Main Details
Name
Healthy Connections, Inc.
Subdivision Name
Cossatot Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011472
340B ID
CH061220B
Grant Number
H80CS00279
Additional Details
Current Program Status
Terminated
Registration Date
5/31/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
2/19/2017
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
Healthy Connections, Inc.
Tony Calandro, CEO
(479) 437-3449 Ext: 181
Primary Contact
Healthy Connections, Inc
Jamie McMahen, Provider Relations
(479) 437-3449 Ext: 155
Addresses
Street Address
183 College Drive
De Queen, AR 71832
Billing Address
Healthy Connections, Inc.
P.O. Box 1848
136 Health Park Dr.
Mena, AR 71953
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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