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CH04415Y ALBANY AREA PRIMARY HEALTH CARE, INC (Active)
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Main Details
Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
Rural HIV Clinic Annex
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012963
340B ID
CH04415Y
Grant Number
H80CS00763
Additional Details
Current Program Status
Active
Registration Date
1/10/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/14/2019
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Albany Area Primary Health Care, Inc.
Clifton Miquel Bush, Chief Operating Officer
(229) 888-6559 Ext: 6261
Primary Contact
Albany Area Primary Health Care, Inc
Susan Rakel, Director of 340B and Pharmacy Services
(229) 888-6559 Ext: 6217
Addresses
Street Address
2200 E Oglethorpe Blvd
Albany, GA 31705-2940
Billing Address
ALBANY AREA PRIMARY HEALTH CARE, INC
204 N. WESTOVER BLVD
ALBANY, GA 31707
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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