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CH045292H DIVERSITY HEALTH CENTER, INC. (Active)
Main Details
Name
DIVERSITY HEALTH CENTER, INC.
Subdivision Name
Diversity Health Center, Inc.-Wayne County
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029870
340B ID
CH045292H
Grant Number
H80CS08780
Contacts
Authorizing Official
Diversity Health Center, Inc.
Stephanie Jones-Heath, CEO
(912) 318-3947 Ext: 15
Primary Contact
Diversity Health Center, Inc.
Shana Fennell, Director of Operations
(912) 318-3947
Additional Details
Current Program Status
Active
Registration Date
4/2/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/3/2020
Last Recertification Date
2/9/2024
Addresses
Street Address
244 Peachtree St
Jesup, GA 31545-0212
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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