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CH04245AB WHATLEY HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Aliceville Health and Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024389
340B ID
CH04245AB
Grant Number
H80CS00094
Additional Details
Current Program Status
Terminated
Registration Date
2/5/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/7/2019
Last Recertification Date
2/2/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Whatley Health Services
David Gay, CEO
(205) 614-6135
Primary Contact
Whatley Health Services
Rajuan Sherman, Chief Financial Officer
(205) 614-6070
Addresses
Street Address
417 3rd St SE
Aliceville, AL 35442
Billing Address
Whatley Health Services
PO Box 2400
Tuscaloosa, AL 35403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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