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CH04471AB FRANKLIN PRIMARY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Subdivision Name
Lower Alabama Family Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013725
340B ID
CH04471AB
Grant Number
H80CS00099
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/22/2014
Last Recertification Date
2/6/2019
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Franklin Primary Health Center
Charles White, Chief Executive Officer
(251) 434-8188
Primary Contact
Franklin Primary Health Center Inc.
Machelle Burke, Director of Pharmacy
(251) 436-7676
Addresses
Street Address
1205 BELLEVILLE AVE
BREWTON, AL 36426-1304
Billing Address
Franklin Primary Health Center
1303 Dr. Martin Luther King, Jr. Avenue
Mobile, AL 36603-5341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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