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CH04431V MANATEE COUNTY RURAL HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
MANATEE COUNTY RURAL HEALTH SERVICES, INC.
Subdivision Name
WHOLE CHILD PEDIATRICS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001687
340B ID
CH04431V
Grant Number
H80CS00097
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/13/2013
Last Recertification Date
3/1/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
WALTER L. PRESHA, CEO
(941) 776-4000
Primary Contact
Tuesday Fredricks, Pharmacy Director
(941) 708-7672 Ext: 300
Addresses
Street Address
8936 77th Ter E
Lakewood Ranch, FL 34202-6419
Billing Address
Manatee County Rural Health Services, Inc.
Administrative Office
700 8th Ave West Suite 101
Palmetto, FL 34221
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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