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CHC00836-15 South Central Primary Care Center, Inc. (Active)
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Main Details
Name
South Central Primary Care Center, Inc.
Subdivision Name
Northside Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022244
340B ID
CHC00836-15
Grant Number
H80CS00836
Additional Details
Current Program Status
Active
Registration Date
11/1/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/1/2018
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
South Central Primary Care Center, Inc.
Robert B. Tucker, CEO
(229) 468-9166 Ext: 1
Primary Contact
South Central Primary Care Center, Inc.
Judy Swanson, Nurse Manager
(229) 468-9166
Addresses
Street Address
247-B Northside Drive
Valdosta, GA 31605
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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