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CH0416080 LOW COUNTRY HEALTH CARE SYSTEM INC (Active)
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Main Details
Name
LOW COUNTRY HEALTH CARE SYSTEM INC
Subdivision Name
LOW COUNTRY HEALTH CARE SYSTEM
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003494
340B ID
CH0416080
Grant Number
H80CS00092
Additional Details
Current Program Status
Active
Registration Date
7/1/2000
Participating Start Date
7/1/2000
Participating Approval Date
11/3/2004
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
LOW COUNTRY HEALTH CARE SYSTEM
ASHLEY L. BARNES, CEO
(803) 632-2533 Ext: 1125
Primary Contact
LOW COUNTRY HEALTH CARE SYSTEM
Megan Anderson, Director of Pharmacy
(803) 956-6100 Ext: 7105
Addresses
Street Address
333 REVOLUTIONARY TRAIL
Fairfax, SC 29827-7109
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/3/04 - UPDATED ENTITY NAME; 11/3/04 UPDATED ADDR
01/14/2010
April 2025
April 2025
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