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CH04245U WHATLEY HEALTH SERVICES, INC. (Terminated)
Main Details
Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
TUSCALOOSA COUNTY JAIL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003714
340B ID
CH04245U
Grant Number
H80CS00094
Contacts
Authorizing Official
Whatley Health Services
David Gay, CEO
(205) 614-6135
Primary Contact
Whatley Health Services
Rajuan Sherman, Chief Financial Officer
(205) 614-6070
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
2/8/2022
Termination Date
1/1/2023
Termination Reason
Site closure
Addresses
Street Address
1616 26TH AVE
TUSCALOOSA, AL 35401-4536
Billing Address
Whatley Health Services, Inc.
PO Box 2400
Tuscaloosa, AL 35403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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