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CHC24177-10 Cahaba Medical Care Foundation (Active)
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Main Details
Name
Cahaba Medical Care Foundation
Subdivision Name
Cahaba Medical Care - Birmingham Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027371
340B ID
CHC24177-10
Grant Number
H80CS24177
Additional Details
Current Program Status
Active
Registration Date
7/10/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/16/2019
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Cahaba Medical Care
John Waits, CEO
(205) 277-2396
Primary Contact
Cahaba Medical Care Foundation
Lacy Smith, COO
(205) 926-2992
Addresses
Street Address
623 8th Ave W
Birmingham, AL 35204-3604
Billing Address
Cahaba Medical Care Foundation
405 BELCHER ST
CENTREVILLE, AL 35042
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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