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CH04196W BIRMINGHAM HEALTH CARE INC (Terminated)
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Main Details
Name
BIRMINGHAM HEALTH CARE INC
Subdivision Name
BHC Norwood Plaza
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013456
340B ID
CH04196W
Grant Number
H80CS00020
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/28/2015
Last Recertification Date
Termination Date
Termination Reason
1/1/2016
Site closure
Contacts
Authorizing Official
JIMMY LACEY, EXECUTIVE DIRECTOR
(205) 212-5653
Primary Contact
Alabama Regional Medical Services
Theresa Foster, Compliance Officer
(205) 212-5653
Addresses
Street Address
2401 15th Avenue North
Birmingham, AL 35234
Billing Address
Birmingham Health Care
PO Box 11523
Birmingham, AL 35202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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