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CH04471AJ FRANKLIN PRIMARY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Subdivision Name
Foley School Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017675
340B ID
CH04471AJ
Grant Number
H80CS00099
Additional Details
Current Program Status
Terminated
Registration Date
4/7/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/18/2017
Last Recertification Date
2/10/2020
Termination Date
Termination Reason
7/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Franklin Primary Health Center
Charles White, Chief Executive Officer
(251) 434-8188
Primary Contact
Franklin Primary Health Center Inc.
Machelle Burke, Director of Pharmacy
(251) 436-7676
Addresses
Street Address
301 West Laurel Avenue
Foley, AL 36535
Billing Address
Franklin Primary Health Center
1303 Dr. Martin Luther King Jr. Avenue
Mobile, AL 36603-5341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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