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CH03182G CABIN CREEK HEALTH SYSTEMS, INC. (Terminated)
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Main Details
Name
CABIN CREEK HEALTH SYSTEMS, INC.
Subdivision Name
Sunnyside Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021933
340B ID
CH03182G
Grant Number
H80CS00294
Additional Details
Current Program Status
Terminated
Registration Date
7/3/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/13/2018
Last Recertification Date
2/6/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
Cabin Creek Health Systems
Amber Renee Crist, Chief Operating Officer
(304) 444-2146
Primary Contact
Cabin Creek Health Systems
Jerad Lee Bailey, Director of Pharmacy Operations
(304) 734-2040 Ext: 1324
Addresses
Street Address
108 Lee Street, East Suite 129
Charleston, WV 25301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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