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CH041279J RURAL HEALTH SERVICES CONSORTIUM, INC. (Active)
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Main Details
Name
RURAL HEALTH SERVICES CONSORTIUM, INC.
Subdivision Name
KINGSPORT MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000455
340B ID
CH041279J
Grant Number
H80CS00421
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
2/10/2011
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Rural Health Services Consortium, Inc.
LINDA W. BUCK, CHIEF EXECUTIVE OFFICER
(423) 272-9163 Ext: 8901
Primary Contact
Rural Health Services Consortium
Tara Worley, Pharmacist
(423) 921-1621
Addresses
Street Address
737 E Sevier Ave
Kingsport, TN 37660-4912
Billing Address
RURAL HEALTH SERVICES CONSORTIUM
4966 Highway 11 W
P.O. BOX 850
ROGERSVILLE, TN 37857-6028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/10/11 ADDED BILL-TO ADD
02/10/2011
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