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CH04415AC ALBANY AREA PRIMARY HEALTH CARE, INC (Terminated)
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Main Details
Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
AAPHC Northwest Family Medical and Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024742
340B ID
CH04415AC
Grant Number
H80CS00763
Additional Details
Current Program Status
Terminated
Registration Date
2/26/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/28/2019
Last Recertification Date
2/17/2023
Termination Date
Termination Reason
4/1/2024
Site closure
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
2403 Osler Court STE A
Albany, GA 31707
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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