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CH04285K Rural Health Medical Program, Inc. (Active)
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Main Details
Name
Rural Health Medical Program, Inc.
Subdivision Name
Rural Health Medical Program, Inc.- Monroeville Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029880
340B ID
CH04285K
Grant Number
H80CS00794
Additional Details
Current Program Status
Active
Registration Date
11/19/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/21/2019
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Rural Health Medical Program, Inc.
Keshee D. Smith, CEO
(334) 874-7428
Primary Contact
Rural Health Medical Program Inc.
Jasmine Williams, Corporate Compliance Officer
(334) 874-7428
Addresses
Street Address
3040 S Alabama Ave
Monroeville, AL 36460-5600
Billing Address
Rural Health Medical Program, Inc.
P.O. Box 2213
Selma, AL 36702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CH04285K
11/21/2019
June 2025
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