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CH04049G CURTIS V COOPER PRIMARY HEALTH CARE INC (Terminated)
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Main Details
Name
CURTIS V COOPER PRIMARY HEALTH CARE INC
Subdivision Name
Chatham Behavioral Health Crisis Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030370
340B ID
CH04049G
Grant Number
H80CS00082
Additional Details
Current Program Status
Terminated
Registration Date
12/14/2017
Participating Start Date
1/1/2018
Participating Approval Date
12/14/2017
Last Recertification Date
2/7/2023
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Curtis V. Cooper Primary Health Care, inc.
Albert B. Grandy JR., CEO
(912) 527-1117
Primary Contact
Curtis V. Cooper Primary Health care, Inc.
Earlene J Daniels, Chief Financial Officer
(912) 527-1088
Addresses
Street Address
2121 Derenne Ave
Savannah, GA 31406
Billing Address
Curtis V.Cooper Primary Health Care, Inc.
106 E. Broad Street
Savannah, GA 31401
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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