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FQHCLA351C GREENE COUNTY HEALTH, INC. (Terminated)
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Main Details
Name
GREENE COUNTY HEALTH, INC.
Subdivision Name
Greene County Health - WestGate
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-020843
340B ID
FQHCLA351C
Grant Number
LALCS31107
Additional Details
Current Program Status
Terminated
Registration Date
7/27/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/27/2017
Last Recertification Date
2/12/2018
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
Greene County Health, Inc.
Elizabeth Burrows, Interim CEO
(812) 699-4153
Primary Contact
Greene County Health, Inc.
Cara Gambill, Project Manager
(812) 699-4153
Addresses
Street Address
1985 E. Freedom Drive
Newberry, IN 47449
Billing Address
Greene County Health, Inc.
1210 North 1000 West
ATTN Administration
Linton, IN 47848
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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