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CH04708A MOBILE COUNTY BOARD OF HEALTH (Active)
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Main Details
Name
MOBILE COUNTY BOARD OF HEALTH
Subdivision Name
Citronelle Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000204
340B ID
CH04708A
Grant Number
H80CS00318
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
5/13/2004
Last Recertification Date
2/14/2025
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
19250 N Mobile St
Citronelle, AL 36522-2122
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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CORRECTED ENTITY NAME
05/13/2004
April 2025
April 2025
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