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CH04089P PIEDMONT HEALTH SERVICES, INC. (Active)
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Main Details
Name
PIEDMONT HEALTH SERVICES, INC.
Subdivision Name
Piedmont Health Services Inc. Administrative Offices
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028234
340B ID
CH04089P
Grant Number
H80CS00086
Additional Details
Current Program Status
Active
Registration Date
1/5/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/5/2018
Last Recertification Date
3/7/2025
Contacts
Authorizing Official
Piedmont Health Services
Daniella Jaimes-Colina, Chief Executive Officer
(984) 358-4691
Primary Contact
Piedmont Health Services
Kelly B Stout, Chief Pharmacy Officer
(919) 537-7493
Addresses
Street Address
88 Vilcom Center Drive
Chapel Hill, NC 27514
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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