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CHC33657-05 Highland Health Providers Corporation (Terminated)
Main Details
Name
Highland Health Providers Corporation
Subdivision Name
Highland Health Providers - Winchester Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032473
340B ID
CHC33657-05
Grant Number
H80CS33657
Contacts
Authorizing Official
Highland District Hospital
Meghann Ackley, Chief Financial Officer
(937) 840-6617
Primary Contact
Highland Health Providers
Lauren Ashley Coor, Pharmacist
(937) 840-6731 Ext: 4902
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/20/2021
Last Recertification Date
2/1/2022
Termination Date
10/1/2022
Termination Reason
Business decision by the Covered Entity
Addresses
Street Address
19262 State Route 136
Winchester, OH 45697-9571
Billing Address
Highland Health Providers Corporation
1402 North High St.
North High St.
Hillsboro, OH 45133
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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