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CH04123K OCOEE REGIONAL HEALTH CORPORATION (Terminated)
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Main Details
Name
OCOEE REGIONAL HEALTH CORPORATION
Subdivision Name
OCOEE REGIONAL HEALTH CORPORATION
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000256
340B ID
CH04123K
Grant Number
H80CS00762
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/26/2015
Last Recertification Date
2/4/2021
Termination Date
Termination Reason
10/1/2021
Other
Contacts
Authorizing Official
Ocoee Regional Health Corp.
BILL MOATS, CEO
(423) 338-8995 Ext: 1212
Primary Contact
Ocoee Regional Health Corporation
Chandler Lauren Blakely, Chief Financial Officer
(423) 338-8995 Ext: 1205
Addresses
Street Address
6784 Highway 411
BENTON, TN 37307-0308
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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