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CH045288D TRIAD HEALTH SYSTEM INC (Terminated)
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Main Details
Name
TRIAD HEALTH SYSTEM INC
Subdivision Name
Owen County Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014494
340B ID
CH045288D
Grant Number
H80CS08785
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/10/2016
Last Recertification Date
2/3/2020
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
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
1005 HIGHWAY 22 E
OWENTON, KY 40359-9041
Billing Address
Triad Health Systems
PO Box 845
Warsaw, KY 41095
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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