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CH04245Y WHATLEY HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Stillman Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015076
340B ID
CH04245Y
Grant Number
H80CS00094
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/18/2017
Last Recertification Date
2/19/2018
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
Whatley Health Services, Inc.
Deborah H. Tucker, CEO
(205) 349-3250 Ext: 6135
Primary Contact
Whatley Health Services, Inc.
Betty Turman, CFO
(205) 349-3250 Ext: 6061
Addresses
Street Address
3601 STILLMAN BLVD
TUSCALOOSA, AL 35401-2601
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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