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CHC24177-17 Cahaba Medical Care Foundation (Active)
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Main Details
Name
Cahaba Medical Care Foundation
Subdivision Name
Cahaba Medical Care - West Blocton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032120
340B ID
CHC24177-17
Grant Number
H80CS24177
Additional Details
Current Program Status
Active
Registration Date
10/9/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/13/2021
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Cahaba Medical Care
John Waits, CEO
(205) 277-2396
Primary Contact
Cahaba Medical Care Foundation
Lacy Smith, COO
(205) 926-2992
Addresses
Street Address
319 Magnolia St
West Blocton, AL 35184
Billing Address
Cahaba Medical Care Foundation
405 Belcher St
Centreville, AL 35042
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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