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CHC00836-05 SOUTH CENTRAL PRIMARY CARE CENTER (Active)
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Main Details
Name
SOUTH CENTRAL PRIMARY CARE CENTER
Subdivision Name
South Central Primary Care Center, Inc. - Operations Building
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012847
340B ID
CHC00836-05
Grant Number
H80CS00836
Additional Details
Current Program Status
Active
Registration Date
4/7/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/30/2014
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
South Central Primary Care Center, Inc.
Robert B. Tucker, CEO
(229) 468-9166 Ext: 1
Primary Contact
South Central Primary Care Center, Inc.
Judy Swanson, Nurse Manager
(229) 468-9166
Addresses
Street Address
406 W 5th St
Ocilla, GA 31774-1421
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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