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CH04895N SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (Active)
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Main Details
Name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Subdivision Name
Geneva Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032082
340B ID
CH04895N
Grant Number
H80CS00376
Additional Details
Current Program Status
Active
Registration Date
4/14/2021
Participating Start Date
4/22/2021
Participating Approval Date
4/14/2021
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Southeast Alabama Rural Health Associates
Pamylon Bowers, CEO
(334) 670-6726
Primary Contact
Southeast Alabama Rural Health Associates
Lori Bullock Pope, Director of Clinical Informatics
(334) 670-6726
Addresses
Street Address
100 W Lake Professional Park Ste 3
Geneva, AL 36340-1200
Billing Address
Southeast Alabama Rural Health Associates
1414 Elba Hwy
Troy, AL 36079
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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