340B Drug Pricing Program Database

Name

ALBANY AREA PRIMARY HEALTH CARE, INC

Subdivision Name

Crisp County School-Based Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-017583

340B ID

CH04415U

Grant Number

H80CS00763

Current Program Status

Terminated

Registration Date

4/15/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/18/2016

Last Recertification Date

1/30/2020

Termination Date
Termination Reason

4/1/2021
Business decision by the Covered Entity

Authorizing Official

Albany Area Primary Health Care, Inc.
Shelley Spires, Chief Executive Officer
(229) 888-6559 Ext: 6209

Primary Contact

Albany Area Primary Health Care, Inc.
Clifton Miquel Bush, Chief Operating Officer
(229) 888-6559 Ext: 6261

Street Address

330 Old Hatley Road
Cordele, GA 31015

Billing Address

Albany Area Primary Health Care, Inc.
204 N Westover Blvd
Albany, GA 31707