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CHC24177-05 CAHABA MEDICAL CARE FOUNDATION (Active)
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Main Details
Name
CAHABA MEDICAL CARE FOUNDATION
Subdivision Name
Cahaba Medical Care - West End Office
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018982
340B ID
CHC24177-05
Grant Number
H80CS24177
Additional Details
Current Program Status
Active
Registration Date
1/17/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/2/2017
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Cahaba Medical Care
John Waits, CEO
(205) 277-2396
Primary Contact
Cahaba Medical Care Foundation
Lacy Smith, COO
(205) 926-2992
Addresses
Street Address
1308 TUSCALOOSA AVE SW
Birmingham, AL 35211-1948
Billing Address
Cahaba Medical Care
405 Belcher St
Centreville, AL 35042-2946
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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