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CHC24128-00 HEALTH, FLORIDA DEPARTMENT OF (Active)
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Main Details
Name
HEALTH, FLORIDA DEPARTMENT OF
Subdivision Name
Walton County Health Department
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011787
340B ID
CHC24128-00
Grant Number
H80CS24128
Additional Details
Current Program Status
Active
Registration Date
1/5/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/11/2017
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Florida Department of Health
Holly Holt, Administrator
(850) 892-8015 Ext: 1152
Primary Contact
CHC24128-00
Jamie Carmichael, Business Manager
(850) 401-6334
Addresses
Street Address
362 Highway 83 N
DeFuniak Springs, FL 32433-3800
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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