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CH045190 HARDEMAN COUNTY COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
HARDEMAN COUNTY COMMUNITY HEALTH CENTER
Subdivision Name
HARDEMAN COUNTY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000457
340B ID
CH045190
Grant Number
H80CS00530
Additional Details
Current Program Status
Active
Registration Date
7/1/2001
Participating Start Date
7/1/2001
Participating Approval Date
3/16/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Hardeman County Community Health Center
Marlita White, CEO
(731) 659-3052
Primary Contact
Hardeman County Community Health Center
Robert Davis Jr., COO
(731) 658-3388 Ext: 132
Addresses
Street Address
629 Nuckolls Rd
Bolivar, TN 38008-1599
Billing Address
HARDEMAN COUNTY COMMUNITY HEALTH CENTER
PO BOX 720
BOLIVAR, TN 38008-0720
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/2/05 - UPDATED CONTACT INFO, 3/16/05 - ADDED BILL TO ADDRESS
08/12/2005
June 2025
June 2025
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