340B Drug Pricing Program Database

Name

NORTHEAST MISSISSIPPI HEALTH CARE, INC.

Subdivision Name

DBA BYHALIA FAMILY HEALTH CENTER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-002409

340B ID

CH043060

Grant Number

H80CS00432

Current Program Status

Active

Registration Date

12/1/1992

Participating Start Date

12/1/1992

Participating Approval Date

8/27/2004

Last Recertification Date

2/10/2025

Authorizing Official

Northeast Mississippi Health Care, Inc.
Clifton Rodgers, Physician
(662) 349-6220

Primary Contact

Northeast Mississippi Health Care, Inc.
Andrea Chrestman, COO/CCO
(662) 838-2163 Ext: 235

Street Address

12 BRUNSWICK ST
BYHALIA, MS 38611-0012

Billing Address

NORTHEAST MS HEALTH CARE, INC.
12 BRUNSWICK ST
PO BOX 698
BYHALIA, MS 38611