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CH04211L GEORGIA MOUNTAINS HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Subdivision Name
Dalton Community Center Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011961
340B ID
CH04211L
Grant Number
H80CS00093
Additional Details
Current Program Status
Terminated
Registration Date
8/23/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/14/2012
Last Recertification Date
2/9/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Georgia Mountains Health Services, Inc
Steven Miracle, CEO
(706) 946-5610
Primary Contact
Georgia Mtns Health
Randy Westbrook, CFO
(706) 946-5609
Addresses
Street Address
218 N Fredrick St
Dalton, GA 30721-3242
Billing Address
Georgia Mtns Health
165 Blue Ridge Overlook
Blue Ridge, GA 30513
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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