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CH040490 CURTIS V. COOPER PRIMARY HEALTH CARE, INC. (Active)
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Main Details
Name
CURTIS V. COOPER PRIMARY HEALTH CARE, INC.
Subdivision Name
FORMERLY WESTSIDE URBAN HLTH CTRS, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005195
340B ID
CH040490
Grant Number
H80CS00082
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
5/12/2004
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Curtis V. Cooper Primary Health Care, inc.
Albert B. Grandy JR., CEO
(912) 527-1117
Primary Contact
Curtis V Cooper Primary Healthcare, Inc
Abiola Oguntunmibi, Pharmacist Supervisor
(912) 527-1000 Ext: 1105
Addresses
Street Address
106 EAST BROAD STREET
SAVANNAH, GA 31401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW NAME, ADDRESS, CONTACT, MED#
05/12/2004
April 2025
April 2025
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