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CH045288C TRIAD HEALTH SYSTEM INC (Terminated)
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Main Details
Name
TRIAD HEALTH SYSTEM INC
Subdivision Name
Gallatin Co Health Department
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013999
340B ID
CH045288C
Grant Number
H80CS08785
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/10/2014
Last Recertification Date
2/19/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Triad Health Systems
ADAM CRAFT, EXECUTIVE DIRECTOR
(859) 567-1271
Primary Contact
Triad Health Systems, Inc.
Roger Williams, CFO
(895) 567-1271
Addresses
Street Address
102 W PEARL ST
WARSAW, KY 41095-2029
Billing Address
Triad Health Systems, Inc.
441 US Hwy 42 West
Warsaw, KY 41095
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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