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CHC28348-04 APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Subdivision Name
Balsam Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017971
340B ID
CHC28348-04
Grant Number
H80CS28348
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/20/2016
Last Recertification Date
2/7/2018
Termination Date
Termination Reason
1/1/2019
Site closure
Contacts
Authorizing Official
Appalachian Mountain Community Health Centers
Reuben J Pettiford, President and CEO
(828) 202-5335
Primary Contact
Appalachian Mountain Community Health Center
Louie Brown, 340B Consultant
(864) 255-4776
Addresses
Street Address
91 Timberlane Road
Waynesville, NC 28786
Billing Address
Appalachian Mountain Community Health Centers
P.O. Box 2597
Asheville, NC 28802-2597
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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