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CH04708K MOBILE COUNTY BOARD OF HEALTH (Terminated)
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Main Details
Name
MOBILE COUNTY BOARD OF HEALTH
Subdivision Name
MOBILE MEDICAL VAN
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006748
340B ID
CH04708K
Grant Number
H80CS00318
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/6/2013
Last Recertification Date
2/6/2024
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Mobile County Health Department
Kelly R Warren, Executive Director
(251) 690-8832
Primary Contact
Mobile County Health Department
Kevin P Michaels, Health Officer
(251) 690-8101
Addresses
Street Address
251 N Bayou St
Mobile, AL 36603-5827
Billing Address
Mobile County Board of Health
P.O. Box 2867
Mobile, AL 36652-2867
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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