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CHC24129-02 ATHENS NEIGHBORHOOD HEALTH CENTER (Terminated)
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Main Details
Name
ATHENS NEIGHBORHOOD HEALTH CENTER
Subdivision Name
Athens Neighborhood Health Center - West
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014498
340B ID
CHC24129-02
Grant Number
H80CS24129
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2016
Participating Start Date
4/1/2016
Participating Approval Date
1/12/2016
Last Recertification Date
3/7/2018
Termination Date
Termination Reason
7/1/2018
Site closure
Contacts
Authorizing Official
Athens Neighborhood Health Center
kavanaugh chandler, CEO
(706) 296-9001
Primary Contact
Athens Neighborhood Health Center
john wolfe, CFO
(706) 850-9041
Addresses
Street Address
3320 OLD JEFFERSON RD
ATHENS, GA 30607-1400
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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