340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH04211N GEORGIA MOUNTAINS HEALTH SERVICES, INC. (Terminated)
Print
Main Details
Name
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Subdivision Name
Appalachian Integrated Care and Wellness Program
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012543
340B ID
CH04211N
Grant Number
H80CS00093
Additional Details
Current Program Status
Terminated
Registration Date
10/9/2013
Participating Start Date
1/1/2014
Participating Approval Date
10/23/2013
Last Recertification Date
2/4/2017
Termination Date
Termination Reason
1/1/2018
Business decision by the Covered Entity
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
900 Shugart Rd
Dalton, GA 30720-2467
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
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session