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CH04814E HEALTHFIRST BLUEGRASS, INC. (Terminated)
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Main Details
Name
HEALTHFIRST BLUEGRASS, INC.
Subdivision Name
HealthFirst Bluegrass Mobile 2 Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018512
340B ID
CH04814E
Grant Number
H80CS28202
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
Last Recertification Date
1/31/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Healthfirst Bluegrass
Wayne Linscott, CEO
(859) 270-0192
Primary Contact
Healthfirst Bluegrass Pharmacy
Viodalia Dalton, Pharmacy Director
(859) 721-2551
Addresses
Street Address
496 Southland Drive
Lexington, KY 40503-1827
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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