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CH04245T WHATLEY HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
CRESCENT EAST HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007267
340B ID
CH04245T
Grant Number
H80CS00094
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/11/2014
Last Recertification Date
1/31/2019
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Whatley Health Services
David Gay, CEO
(205) 614-6135
Primary Contact
Whatley Health Services
Rajuan Sherman, Chief Financial Officer
(205) 614-6070
Addresses
Street Address
120 51st Ave E APT B
Tuscaloosa, AL 35404-5380
Billing Address
Whatley Health Services, Inc.
2731 Martin Luther King, Jr. Blvd.
Tuscaloosa, AL 35401-5233
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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