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CH04505G SANDHILLS MEDICAL FOUNDATION (Active)
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Main Details
Name
SANDHILLS MEDICAL FOUNDATION
Subdivision Name
Sandhills Medical Foundation - Ruby
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022340
340B ID
CH04505G
Grant Number
H80CS00501
Additional Details
Current Program Status
Active
Registration Date
8/17/2018
Participating Start Date
10/1/2018
Participating Approval Date
9/5/2018
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Sandhills Medical Foundation, Inc
Delgado Cantave, CEO
(803) 900-6469
Primary Contact
Sandhills Medical Foundation, Inc.
Erin Rollings, DIRECTOR OF PHARMACY
(803) 438-5537
Addresses
Street Address
290 Market St
Ruby, SC 29741
Billing Address
Sandhills Medical Foundation, Inc.
645 S Seventh Street
PO Box 366
McBee, SC 29101-0366
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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