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FQHCLA429A Physicians Care of Clarke (Active)
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Main Details
Name
Physicians Care of Clarke
Subdivision Name
Physicians Care of Camden
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-032799
340B ID
FQHCLA429A
Grant Number
LALCS43504
Additional Details
Current Program Status
Active
Registration Date
10/1/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/4/2021
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
PHYSICIANS CARE
FARRELL A TURNER, CEO
(256) 201-0095
Primary Contact
PHYSICIANS CARE
CHAD SHADEL, CFO
(630) 863-3907
Addresses
Street Address
24B Camden Byp
Camden, AL 36726-1770
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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