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CH031230 CLINCH RIVER HEALTH SERVICES, INCORPORATED (Active)
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Main Details
Name
CLINCH RIVER HEALTH SERVICES, INCORPORATED
Subdivision Name
CLINCH RIVER HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001235
340B ID
CH031230
Grant Number
H80CS00449
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
12/1/1992
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Clinch River Health Services
Gary Wayne Gilliam, CEO
(276) 467-7016
Primary Contact
Clinch River Health Services, Inc.
Tammy Begley, Executive Assistant
(276) 467-7001
Addresses
Street Address
17633 VETERANS MEMORIAL HWY STE 101
DUNGANNON, VA 24245-9701
Billing Address
Clinch River Health Services, Inc.
17285 Veterans Memorial Hwy.
Dungannon, VA 24245-3929
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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