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CH03405B BLUE RIDGE MEDICAL CENTER INC (Terminated)
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Main Details
Name
BLUE RIDGE MEDICAL CENTER INC
Subdivision Name
Nelson Counseling Center, Region Ten Community Services Board
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018855
340B ID
CH03405B
Grant Number
H80CS00175
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/2/2019
Last Recertification Date
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Blue Ridge Medical Center
Randolph Pirtle, CEO
(434) 263-4000
Primary Contact
Blue Ridge Medical Center
Kathy Bryant, Pharmacy Director
(434) 263-4810
Addresses
Street Address
71 Tanbark Plaza
Lovingston, VA 22949-2464
Billing Address
Blue Ridge Medical Center
4038 Thomas Nelson Hwy
Arrington, VA 22922
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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