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CH04842B Claiborne County Family Health Center (Active)
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Main Details
Name
Claiborne County Family Health Center
Subdivision Name
CCFHC-A.W. WATSON SBH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005340
340B ID
CH04842B
Grant Number
H80CS00482
Additional Details
Current Program Status
Active
Registration Date
10/13/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/13/2021
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Claiborne County Family Health Center
LaDonna Davis, COO
(601) 437-3052 Ext: 6014373050
Primary Contact
Claiborne County Family Health Center
Anita Moore, Purchasing
(601) 437-3049
Addresses
Street Address
880 Anthony St
Port Gibson, MS 39150-2050
Billing Address
Claiborne County Family Health Center
2045 Highway 61 N
Port Gibson, MS 39150
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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