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CH06014J EAST ARKANSAS FAMILY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
EAST ARKANSAS FAMILY HEALTH CENTER, INC.
Subdivision Name
Marvell-Elaine School Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021668
340B ID
CH06014J
Grant Number
H80CS00123
Additional Details
Current Program Status
Terminated
Registration Date
4/9/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/15/2019
Last Recertification Date
2/10/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
East Arkansas Family Health Center, Inc
SUSAN WARD-JONES, CEO
(870) 735-3842
Primary Contact
East Arkansas Family Health Center
Judy Ali, Pharmacy Director
(870) 733-6341
Addresses
Street Address
1018 US 49
Marvell, AR 72366
Billing Address
East Arkansas Family Health Center
900 North 7th St
West Memphis, AR 72301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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