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CH04076M G.A. CARMICHAEL FAMILY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
G.A. CARMICHAEL FAMILY HEALTH CENTER, INC.
Subdivision Name
HAYDEN STREET SATELLITE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002245
340B ID
CH04076M
Grant Number
H80CS00484
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/13/2013
Last Recertification Date
2/3/2021
Termination Date
Termination Reason
4/1/2022
Other
Contacts
Authorizing Official
G. A. Carmichael Family Health Center, Inc.
James L. Coleman Jr., CEO
(601) 859-5213 Ext: 2291
Primary Contact
G.A. Carmichael Family Health Center, Inc.
Joshua Knox, Chief Programs Officer
(601) 953-2188
Addresses
Street Address
116 N Hayden St
Belzoni, MS 39038-3932
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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