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CH04041M Family Health Centers Of Georgia, Inc., The (Terminated)
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Main Details
Name
Family Health Centers Of Georgia, Inc., The
Subdivision Name
The Family Health Center at KidCare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021880
340B ID
CH04041M
Grant Number
H80CS00485
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/29/2019
Last Recertification Date
2/4/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
The Family Health Centers of Georgia Inc.
Michael Brooks, President & CEO
(404) 756-8732
Primary Contact
Family Health Centers of Georgia Inc
William Bledsoe, CFO
(678) 725-0143
Addresses
Street Address
2565 Jolly Road
College Park, GA 30349-3103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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