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CH04900B ROBESON HEALTH CARE CORP (Active)
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Main Details
Name
ROBESON HEALTH CARE CORP
Subdivision Name
MAXTON MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004030
340B ID
CH04900B
Grant Number
H80CS00107
Additional Details
Current Program Status
Active
Registration Date
1/1/1995
Participating Start Date
1/1/1995
Participating Approval Date
5/5/2004
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
RHCC
Al Bishop, CCO
(910) 521-2900 Ext: 1105
Primary Contact
Robeson Health Care Corporation
Colin L Lowery, Director of Pharmacy Services
(910) 823-6567
Addresses
Street Address
610 E. MARTIN LUTHER KING DR
MAXTON, NC 28364-1800
Billing Address
ROBESON HEALTH CARE CORPORATION
60 Commerce Plaza Circle
PEMBROKE, NC 28372
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/12/09 UPDATED BILL TO (WAS 1211 SOUTH WALNUT ST)
01/13/2010
April 2025
April 2025
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