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CHC24177-15 Cahaba Medical Care Foundation (Active)
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Main Details
Name
Cahaba Medical Care Foundation
Subdivision Name
Cahaba Medical Care - Fairfield
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029584
340B ID
CHC24177-15
Grant Number
H80CS24177
Additional Details
Current Program Status
Active
Registration Date
1/13/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/22/2020
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
6900 Grasselli Rd
Fairfield, AL 35064-2424
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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