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CH04049H CURTIS V COOPER PRIMARY HEALTH CARE INC (Active)
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Main Details
Name
CURTIS V COOPER PRIMARY HEALTH CARE INC
Subdivision Name
CVC MOBILE HEALTH VAN
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021338
340B ID
CH04049H
Grant Number
H80CS00082
Additional Details
Current Program Status
Active
Registration Date
4/16/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
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 Health care, Inc.
Earlene J Daniels, Chief Financial Officer
(912) 527-1088
Addresses
Street Address
106 E. Broad St
Savannah, GA 31401-2917
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
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