340B Drug Pricing Program Database
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CH04910G North Mississippi Primary Health Care, Inc. (Active)
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Main Details
Name
North Mississippi Primary Health Care, Inc.
Subdivision Name
Tishomingo Health Care Associates
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018463
340B ID
CH04910G
Grant Number
H80CS00635
Additional Details
Current Program Status
Active
Registration Date
11/27/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/29/2017
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
North Mississippi Primary Health Care
Bill Stone, CEO
(662) 502-3149
Primary Contact
North Mississippi Primary Health Care, Inc.
Reeca Elliott, 340B Program Coordinator
(662) 502-3150
Addresses
Street Address
1310 Main Street
Tishomingo, MS 38873-0000
Billing Address
North Mississippi Primary Health Care, Inc.
PO Box 92
ASHLAND, MS 38603
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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