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FQHCLA351 GREENE COUNTY HEALTH, INC. (Active)
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Main Details
Name
GREENE COUNTY HEALTH, INC.
Subdivision Name
Greene County Health-Shakamak
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-038565
340B ID
FQHCLA351
Grant Number
LALCS31107
Additional Details
Current Program Status
Active
Registration Date
7/27/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/27/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Greene County Health, Inc
Corianne Vanderkolk, CEO
(812) 699-4153
Primary Contact
Greene County Health, Inc
Crystal Plano, CFO
(812) 699-4153
Addresses
Street Address
326 E Main St
Jasonville, IN 47438
Billing Address
Greene County Health, Inc.
1600 A St. NE
Suite 9
ATTN Administration
Linton, IN 47441
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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