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CH04211Q GEORGIA MOUNTAINS HEALTH SERVICES, INC. (Active)
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Main Details
Name
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Subdivision Name
Lumpkin Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013744
340B ID
CH04211Q
Grant Number
H80CS00093
Additional Details
Current Program Status
Active
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/30/2014
Last Recertification Date
2/13/2025
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
134 Ansley Drive Suite
Suite 700
Dahlonega, GA 30533
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
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June 2025
June 2025
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