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CH04700J HEALTH CARE PARTNERS OF SOUTH CAROLINA, INC. (Active)
Main Details
Name
HEALTH CARE PARTNERS OF SOUTH CAROLINA, INC.
Subdivision Name
HCPSC School Based Health at Johnsonville High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031109
340B ID
CH04700J
Grant Number
H80CS00411
Contacts
Authorizing Official
Health Care Partners of SC
Santina Mayo, Chief Executive Officer
(843) 488-6034
Primary Contact
Health Care Partners of South Carolina, Inc. - Conway Office Pharmacy
Joseph Hamilton Odom, Director of Pharmacy
(843) 438-8399
Additional Details
Current Program Status
Active
Registration Date
4/7/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/14/2021
Last Recertification Date
2/2/2024
Addresses
Street Address
237 S Georgetown Hwy
Johnsonville, SC 29555-8081
Billing Address
HEALTH CARE PARTNERS OF SOUTH CAROLINA INC.
1708 OAK STREEET
CONWAY, SC 29526
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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