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CH04895M Southeast Alabama Rural Health Associates (Active)
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Main Details
Name
Southeast Alabama Rural Health Associates
Subdivision Name
Dothan Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015193
340B ID
CH04895M
Grant Number
H80CS00376
Additional Details
Current Program Status
Active
Registration Date
6/25/2012
Participating Start Date
10/1/2012
Participating Approval Date
7/24/2012
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Southeast Alabama Rural Health Associates
Pamylon Bowers, CEO
(334) 670-6726
Primary Contact
Southeast Alabama Rural Health Associates
Lori Bullock Pope, Director of Clinical Informatics
(334) 670-6726
Addresses
Street Address
4300 West Main Street
Suite 300
Dothan, AL 36305
Billing Address
Southeast Alabama Rural Health Associates
1414 Elba Hwy
Troy, AL 36079
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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