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CHC24177-16 Cahaba Medical Care Foundation (Terminated)
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Main Details
Name
Cahaba Medical Care Foundation
Subdivision Name
Cahaba Medical Care - Birmingham Southern
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031032
340B ID
CHC24177-16
Grant Number
H80CS24177
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/13/2020
Last Recertification Date
2/2/2024
Termination Date
Termination Reason
1/1/2025
Site closure
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
900 Arkadelphia Rd Rm 240
Birmingham, AL 35254
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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