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CHC24149-02 Mercy Health Services, Inc. (Active)
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Main Details
Name
Mercy Health Services, Inc.
Subdivision Name
Mercy Marshall County - 122 East Commerce Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027763
340B ID
CHC24149-02
Grant Number
H80CS24149
Additional Details
Current Program Status
Active
Registration Date
7/12/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/18/2019
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Mercy Community Healthcare
Rhonda Sizemore, CFO
(615) 790-0567 Ext: 206
Primary Contact
Mercy Community Healthcare
Martha M Irvin, Controller
(615) 790-0567 Ext: 6101
Addresses
Street Address
122 E Commerce St
Lewisburg, TN 37091-3340
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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