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CH04038H NORTH FLORIDA MEDICAL CENTERS, INC. (Terminated)
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Main Details
Name
NORTH FLORIDA MEDICAL CENTERS, INC.
Subdivision Name
TRI-COUNTY FAMILY HLTH CARE CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001944
340B ID
CH04038H
Grant Number
H80CS00693
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2000
Participating Start Date
7/1/2000
Participating Approval Date
2/25/2005
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
North Florida Medical Centers, Inc.
Tori Wiggins, CFO
(850) 298-6040
Primary Contact
North Florida Medical Centers,Inc
Lane Lunn, Chief Executive Officer
(850) 298-6001
Addresses
Street Address
193 NW US 221
Greenville, FL 32331-4236
Billing Address
NORTH FLORIDA MEDICAL CENTERS, INC.
2804 Remington Green Circle
TALLAHASSEE, FL 32308-8707
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/30/08 ADDED BILL TO; 3/10/07 UPDATED ADDR (WAS U.S. 90 & U.S. 221 NORTH)
01/12/2010
April 2025
April 2025
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